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MELISSA LEA KUKOWSKI MD
NPI 1114606779
Student in an Organized Health Care Education/Training Program in Charlottesville, VA

Active since July 12, 2023PECOS Enrolled
1215 LEE STREET BOX 800710, CHARLOTTESVILLE, VA 22908(412) 692-4942 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 30, 2025, Apr 24, 2024, Jul 12, 2023 (3 updates tracked since 2023).

About Melissa Lea Kukowski Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MELISSA LEA KUKOWSKI MD (NPI 1114606779) is an individual student in an organized health care education/training program in Charlottesville, Virginia, licensed in Virginia (0116040504) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114606779
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMELISSA LEA KUKOWSKICredential: MD
Location Address1215 LEE STREET BOX 800710Charlottesville, VA 22908-0816
Mailing Address1215 Lee Street Box 800710Charlottesville, VA 22908-0816
Phone(412) 692-4942
Sole ProprietorNo
Enumeration DateJuly 12, 2023
Last NPPES UpdateJune 30, 20253 updates tracked since enumeration
NPPES CertifiedJune 30, 2025
✔ NPI 1114606779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in VA · 0116040504
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1215 LEE STREET BOX 800710, Charlottesville, VA 22908
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Melissa Lea Kukowski Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Melissa Kukowski's NPI number?

The NPI number for Melissa Kukowski is 1114606779. It was assigned to this individual provider in the NPPES registry on July 12, 2023.

Where is Melissa Kukowski located?

Melissa Kukowski practices at 1215 Lee Street Box 800710, Charlottesville, VA 22908. The listed phone number is (412) 692-4942.

What is Melissa Kukowski's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Melissa Kukowski enrolled in Medicare?

Yes. Melissa Kukowski is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Melissa Kukowski was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.