Active NPI
Christopher Kukla, PA
- Physician Assistant
- Saginaw, MI
National Provider Identifier
1912581901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5601010395
- Practice address
- 4677 Towne Centre Rd FL 2
Saginaw, MI 48604-2846 - Phone
- (989) 790-6719
- Fax
- (989) 790-9464
- NPI assigned
- May 6, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MI | ||
| Physician Assistant | 363A00000X | 5601010395 | MI | Primary |
Addresses
Primary practice location
4677 Towne Centre Rd FL 2
Saginaw, MI 48604-2846
Mailing address
4677 Towne Centre Rd FL 2
Saginaw, MI 48604-2846
Phone (989) 790-6719
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | christopherkukla@smomsjhs.allscriptsdirect.net | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4677 Towne Centre Rd
FL 2
Saginaw, MI 48604-2846
Phone (989) 790-6719
4701 Towne Centre Rd
Suite 303
Saginaw, MI 48604-2833
Phone (989) 780-2455
800 S Washington Ave
Saginaw, MI 48601-2551
Phone (989) 907-8000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mymichigan Medical Center Saginaw | Current | Accepting new patients | |
| Mymichigan Medical Center Saginaw | Current | Accepting new patients | |
| Mymichigan Medical Center Saginaw | Past | Accepting new patients | |
| Mymichigan Medical Center Saginaw | Past | Accepting new patients |
Locations
4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956
4701 Towne Centre Rd
Ste 303
Saginaw, MI 48604
Phone (989) 780-2455
4677 Towne Centre Rd
Fl 2
Saginaw, MI 48604
Interoperability endpoints
- ckukla114845@mymichiganhealth.midirect.net
- christopher.kukla.1@11016.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Saginaw, MI
- NPI 1326658154
-
- Rheumatology Physician
- Saginaw, MI
- NPI 1073193090
-
- Cardiovascular Disease Physician
- Saginaw, MI
- NPI 1467736132
-
- Emergency Medicine Physician
- Saginaw, MI
- NPI 1801218680
-
- Family Medicine Physician
- Frankenmuth, MI
- NPI 1912995465
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saginaw, MI
- NPI 1871507509
-
- General Acute Care Hospital
- Tawas City, MI
- NPI 1194713461
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635811200000",
"number": "1912581901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4677 TOWNE CENTRE RD FL 2",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486042846",
"telephone_number": "989-790-6719",
"fax_number": "989-790-9464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4677 TOWNE CENTRE RD FL 2",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486042846",
"telephone_number": "989-790-6719",
"fax_number": "989-790-9464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUKLA",
"first_name": "CHRISTOPHER",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-05-06",
"last_updated": "2021-11-02",
"certification_date": "2021-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601010395",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "christopherkukla@smomsjhs.allscriptsdirect.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "4677 Towne Centre Rd Fl 2",
"city": "Saginaw",
"state": "MI",
"country_code": "US",
"postal_code": "486042846",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Saginaw, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; 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.