Active NPI
Kurt Christopher Wukitsch Jr., D.O.
- Internal Medicine Physician
- Orange Park, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- FL-OS17716
- Practice address
- 2001 Kingsley Ave
Orange Park, FL 32073-5148 - Phone
- (904) 639-2000
- Fax
- (904) 639-2015
- NPI assigned
- Jun 29, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | OS17716 | FL | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | FL-OS17716 | FL | Primary |
Addresses
Primary practice location
2001 Kingsley Ave
Orange Park, FL 32073-5148
Mailing address
2001 Kingsley Ave
Orange Park, FL 32073-5156
Phone (049) 639-2018
Other practice location 1
2104 Massey Ave
Jacksonville, FL 32226
Phone (904) 270-4343
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210813002642 | FL | Practitioner - Internal Medicine | 3375891542 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hni Medical Services of Florida, LLCHni Hospital Services of Florida LLC
Practice addresses (Care Compare)
1 Shircliff Way
Jacksonville, FL 32204-4748
Phone (512) 730-3056
1670 St Vincents Way
Middleburg, FL 32068-8447
Phone (512) 730-3056
1700 S Tamiami TRL
Sarasota, FL 34239-3509
Phone (440) 542-5000
205 Trinity Way
St Johns, FL 32259-1155
Phone (904) 450-8120
4201 Belfort Rd
Jacksonville, FL 32216-1431
Phone (904) 296-3700
4901 Richard St
Jacksonville, FL 32207-7328
Phone (512) 730-3060
Hospital & facility affiliations
- Ascension St Vincent'S Clay County
- Ascension St Vincent'S St Johns County
- Ascension St Vincent'S Southside
- Ascension St Vincent'S Riverside
- Pam Health Specialty Hospital of Jacksonville
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| FL-OS17716 | FL | MD | Internal Medicine Physician |
| OS17716 | FL | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hni Hospital Services of Florida, LLC | Internal Medicine | Current | Accepting new patients |
Locations
13681 Doctors Way
Fort Myers, FL 33912
Phone (239) 343-1000
1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414
4201 Belfort Rd
Jacksonville, FL 32216
Phone (904) 268-5561
4901 Richard St
Jacksonville, FL 32207
Phone (904) 425-0500
615 N Bonita Ave
Panama City, FL 32401
Phone (850) 747-2020
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.
-
- Critical Care Medicine (Internal Medicine) Physician
- Panama City, FL
- NPI 1144851411
FL, Internal Medicine
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Long Term Care Hospital
- Jacksonville, FL
- NPI 1982110458
Long-term care hospital
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1396926747
Hospital
-
- General Acute Care Hospital
- Middleburg, FL
- NPI 1457690471
Hospital
-
- Clinical Medical Laboratory
- Jacksonville, FL
- NPI 1669556072
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736380800000",
"number": "1982991972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 KINGSLEY AVE",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320735156",
"telephone_number": "049-639-2018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 KINGSLEY AVE",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320735148",
"telephone_number": "904-639-2000",
"fax_number": "904-639-2015"
}
],
"practiceLocations": [
{
"address_1": "2104 Massey Ave",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "32226",
"country_code": "US",
"telephone_number": "904-270-4343",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WUKITSCH",
"first_name": "KURT",
"middle_name": "CHRISTOPHER",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-06-29",
"last_updated": "2025-01-09",
"certification_date": "2025-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "FL",
"license": "OS17716",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "FL-OS17716",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orange Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; 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.