Individual provider Active NPI

Robert Francis Kukla, DPM

  • Foot & Ankle Surgery Podiatrist
  • Hickory, NC
National Provider Identifier
1871570697
Registry record updated Dec 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
169 Issued in NC
Practice address
1501 Tate Blvd SE
Suite 203
Hickory, NC 28602-4243
Phone
(828) 304-0400
Fax
(828) 304-0142
NPI assigned
Dec 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 169 NC Primary

Addresses

Primary practice location

1501 Tate Blvd SE
Suite 203
Hickory, NC 28602-4243

Mailing address

1501 Tate Blvd SE
Suite 203
Hickory, NC 28602-4243
Phone (828) 304-0400

Other identifiers 2

IdentifierTypeStateIssuer
P00059478OtherRAILROAD MEDICARE
8908111MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031209000064 NC Practitioner - Podiatry 0143124750 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eldridge Podiatry PAGroup PAC ID 6002209467, 5 clinicians

Practice addresses (Care Compare)

1501 Tate Blvd SE
Suite 203
Hickory, NC 28602-1385
Phone (828) 304-0440

Hospital & facility affiliations

  • Catawba Valley Medical Center Hospital, Hickory, NC, CCN 340143

Merit-based Incentive Payment System (MIPS)

Final score
84.1 of 100Reported as group
Quality
68.21
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue40
Removal of skin lesions1-10
Removal of nail tissue683
Removal or shaving of skin growth264
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eldridge Podiatry PA Podiatrist CurrentSince Jan 1, 2022 Accepting new patients

Locations

1501 Tate Blvd SE
Ste 203
Hickory, NC 28602
Phone (828) 304-0400

303 S Green St
Ste 102
Morganton, NC 28655
Phone (828) 304-0400

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1871570697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 TATE BLVD SE",
            "address_2": "SUITE 203",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286024243",
            "telephone_number": "828-304-0400",
            "fax_number": "828-304-0142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 TATE BLVD SE",
            "address_2": "SUITE 203",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286024243",
            "telephone_number": "828-304-0400",
            "fax_number": "828-304-0142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUKLA",
        "first_name": "ROBERT",
        "middle_name": "FRANCIS",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NC",
            "license": "169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00059478",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8908111",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

Verify at the official NPI Registry.