Active NPI
Nataliya Kukhar, MD
- Family Medicine Physician
- Moline, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036124754
- Practice address
- 525 Valley View Dr
Moline, IL 61265-6138 - Phone
- (309) 762-9869
- Fax
- (309) 762-2313
- NPI assigned
- Dec 27, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 125053616 | IL | |
| Family Medicine Physician | 207Q00000X | 036124754 | IL | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | 036.124754 | IL |
Addresses
Primary practice location
525 Valley View Dr
Moline, IL 61265-6138
Mailing address
525 Valley View Dr
Moline, IL 61265-6138
Phone (309) 762-9869
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780868604 | Medicaid | IL | |
| P01019756 | Other | IL | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4480 Utica Ridge Rd
Suite 2230
Bettendorf, IA 52722-1644
Phone (563) 742-5150
525 Valley View Dr
Moline, IL 61265-6138
Phone (309) 762-9869
Hospital & facility affiliations
- Unity Point at Home
- Unitypoint Hospice
- Trinity Rock Island
- Trinity - Bettendorf
- Trinity Muscatine
- Genesis HLTH System Dba Genesis MDL Ctr-Illini
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.124754 | IL | MD | Student in an Organized Health Care Education/Training Program |
| 125053616 | IL | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iowa Physicians Clinic Medical Foundation | Family Medicine | Current | Accepting new patients |
| St Luke'S Methodist Hospital | Current | Accepting new patients |
Locations
4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150
4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950
8101 Birchwood Ct
Unit R
Urbandale, IA 50131
Phone (515) 471-9363
600 N College Ave
Ste 120
Geneseo, IL 61254
Phone (309) 944-5342
3904 16th St
Ste A
Moline, IL 61265
Phone (309) 581-7620
525 Valley View Dr
Moline, IL 61265
Phone (309) 601-2800
Interoperability endpoints
- nkukhar92321@direct.unitypoint.org
Organizations & group practices 2
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.
-
- General Practice Physician
- West Des Moines, IA
- NPI 1366425274
Family Medicine, IL
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Silvis, IL
- NPI 1427132604
-
- General Acute Care Hospital
- Rock Island, IL
- NPI 1316047632
-
- Home Health Agency
- Moline, IL
- NPI 1427351956
-
- Community Based Hospice Care Agency
- Moline, IL
- NPI 1639472178
-
- General Acute Care Hospital
- Bettendorf, IA
- NPI 1124110820
-
- General Acute Care Hospital
- Muscatine, IA
- NPI 1861444333
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423094400000",
"number": "1780868604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 VALLEY VIEW DR",
"city": "MOLINE",
"state": "IL",
"postal_code": "612656138",
"telephone_number": "309-762-9869",
"fax_number": "309-762-2313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 VALLEY VIEW DR",
"city": "MOLINE",
"state": "IL",
"postal_code": "612656138",
"telephone_number": "309-762-9869",
"fax_number": "309-762-2313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUKHAR",
"first_name": "NATALIYA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-27",
"last_updated": "2015-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "IL",
"license": "125053616",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036124754",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "IL",
"license": "036.124754",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1780868604",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P01019756",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Moline, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2015; 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.