Calen Wade Kucera, M.D.

Primary specialty

Gynecologic Oncology PhysicianTaxonomy code 207VX0201X

License

0101275032 Issued in VA

Practice address

3351 Roger Brooke Dr
Fort Sam Houston, TX 78234

Phone

(830) 431-1169

NPI assigned

Mar 31, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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

Obstetrics/GynecologyAlso: Gynecological Oncology

Education

University of Texas Medical School at San Antonio, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

USA Health - Mci Business Services LLCGroup PAC ID 6800290305, 24 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• USA Health Children'S & Women'S Hospital Hospital, Mobile, AL, CCN 013301

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• USA Health - Mci Business Services LLC

  • Hematology & Oncology Physician
  • Mobile, AL
  • NPI 1952972812

  Gynecologic Oncology

  Medicare reassignment Care Compare group NPD
• USA Health Community Providers LLC

  • Family Medicine Physician
  • Mobile, AL
  • NPI 1801571823
  Medicare reassignment NPD
• USA Health Physician Billing Services LLC

  • Radiation Oncology Physician
  • Mobile, AL
  • NPI 1871150508

  Gynecologic Oncology

  Medicare reassignment NPD
• USA Health - Mci Business Services LLC

  • Surgical Oncology Physician
  • Mobile, AL
  • NPI 1295408805
  NPD
• USA Health - Mci Business Services LLC

  • Anatomic Pathology & Clinical Pathology Physician
  • Mobile, AL
  • NPI 1700559325
  NPD
• USA Health Physician Billing Services LLC

  • Diagnostic Radiology Physician
  • Mobile, AL
  • NPI 1609434067
  NPD

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

• University of South Alabama

  • Children's Hospital
  • Mobile, AL
  • NPI 1023055191
  Care Compare affiliation

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

{
    "created_epoch": "1427760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1942695556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 KERRISDALE DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782604423",
            "telephone_number": "830-431-1169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3351 ROGER BROOKE DR",
            "city": "FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "78234",
            "telephone_number": "830-431-1169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUCERA",
        "first_name": "CALEN",
        "middle_name": "WADE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-31",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "DC",
            "license": "210002356",
            "primary": false
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "VA",
            "license": "0101275032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Kristenson, M.D
• Shan Michael Kroger, PA-C
• Roy David Krumbholz
• John Lewis Krzich Jr.
• Sean Kshir
• Jeffrey Dale Kuehnhoff, RPH
• Erin Colleen Kukay, CNM
• Cameron Kunkle
• Nicholas Kunze, PA-C
• Joshua Kuroiwa, D.O.

• Gynecologic Oncology Physician in Fort Sam Houston, TX
• Providers in Fort Sam Houston, TX by specialty
• Gynecologic Oncology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; 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.