BENJAMIN KUKULL MD – NPI #1588050157
Pathology

A molecular genetic pathologist is expert in the principles, theory and technologies of molecular biology and molecular genetics. This expertise is used to make or confirm diagnoses of Mendelian genetic disorders, disorders of human development, infectious diseases and malignancies, and to assess the natural history of those disorders. A molecular genetic pathologist provides information about gene structure, function and alteration and applies laboratory techniques for diagnosis, treatment and prognosis for individuals with related disorders.

Health Care Provider Taxonomy Code for Pathology

BENJAMIN KUKULL is a pathologist located in SALT LAKE CITY, UT. NPPES has assigned the NPI number 1588050157 to BENJAMIN KUKULL on April 10, 2015. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207ZP0007X from the Health Care Provider Taxonomy code set, which is classified as Pathology, specializing in Molecular Genetic Pathology

The NPI profile was previously updated about 7 years ago on Jun 11, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BENJAMIN KUKULL below.

NPI Profile for
BENJAMIN KUKULL

NPI Number
1588050157
Enumeration Date

(more than 11 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
BENJAMIN KUKULL
Credentials
MD
Primary location
15 MEDICAL DR STE 1100
SALT LAKE CITY, UT 84112-1100
Phone: (801) 581-4390 Fax:
1 Other location(s):
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone: (503) 494-8211
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207ZP0007X
- Pathology / Molecular Genetic Pathology (Primary)		 UT 11184892-1205
390200000X
- Student in an Organized Health Care Education/Training Program

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
BENJAMIN KUKULL is affiliated with the following medical group(s):
  • HOSPITAL
    • LEGACY GOOD SAMARITAN MEDICAL CENTER
      1015 NW 22ND AVENUE, W121
      PORTLAND, OR 97210
    • LEGACY MERIDIAN PARK MEDICAL CENTER
      19300 SW 65TH AVENUE
      TUALATIN, OR 97062
    • LEGACY MOUNT HOOD MEDICAL CENTER
      24800 SE STARK STREET
      GRESHAM, OR 97030
    • LEGACY SALMON CREEK MEDICAL CENTER
      2211 NE 139TH STREET
      VANCOUVER, WA 98686
    • OHSU HOSPITAL AND CLINICS
      3181 SW SAM JACKSON PARK ROAD
      PORTLAND, OR 97239

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