Tarun Kukreja, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

01066709 Issued in IN

Practice address

1950 45TH St Ste 200
Munster, IN 46321-3958

Phone

(219) 912-3376

Fax

(219) 529-6267

NPI assigned

Oct 22, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Skin Dermatology, LLCGroup PAC ID 5991187577, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: tkukreja@skinmedsurg.emadirect.md
• Direct secure messaging: tkukreja141177@direct.franciscanalliance.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Skin Dermatology, LLC

  • Dermatology Physician
  • Munster, IN
  • NPI 1386399749
  Medicare reassignment Care Compare group

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664409600000",
    "number": "1760671119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 45TH ST STE 200",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463213958",
            "telephone_number": "219-912-3376",
            "fax_number": "219-529-6267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 45TH ST STE 200",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463213958",
            "telephone_number": "219-912-3376",
            "fax_number": "219-529-6267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUKREJA",
        "first_name": "TARUN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-22",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IN",
            "license": "01066709",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200955840",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Kristy, DPT
• Michael A Krzyskowski
• Tarek Kudaimi, M.D.
• Kristen Kuechle
• Tracy A Kuhn
• Jacquelyn Michelle Kukulski, DO
• Navin Kumar, MD
• Nicole Kumke, RDN
• Jong Yuan Kuo, M.D.
• Joan Marie Kuric, M.D.

• Dermatology Physician in Munster, IN
• Providers in Munster, IN by specialty
• Dermatology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.