Individual provider Active NPI

Kurt Christopher Wukitsch Jr., D.O.

  • Internal Medicine Physician
  • Orange Park, FL
National Provider Identifier
1982991972
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
FL-OS17716 Issued in FL
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

Updated by the provider on Jan 9, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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, LLCGroup PAC ID 7517202112, 104 clinicians
Hni Hospital Services of Florida LLCGroup PAC ID 0244661353, 44 clinicians

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 Hospital, Middleburg, FL, CCN 100321
  • Ascension St Vincent'S St Johns County Hospital, St. Johns, FL, CCN 100361
  • Ascension St Vincent'S Southside Hospital, Jacksonville, FL, CCN 100307
  • Ascension St Vincent'S Riverside Hospital, Jacksonville, FL, CCN 100040
  • Pam Health Specialty Hospital of Jacksonville Long-term care hospital, Jacksonville, FL, CCN 102012

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
FL-OS17716FLMDInternal Medicine Physician
OS17716FLMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hni Hospital Services of Florida, LLC Internal Medicine CurrentSince Jan 1, 2025 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.

Hospital & facility affiliations 6

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": "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

Verify at the official NPI Registry.