DR. ANTHONY KAPOO KEONI KULUKULUALANI III MD
NPI 1568950319
Student in an Organized Health Care Education/Training Program in Greenville, NC

Q: What is Anthony Kulukulualani's NPI number?

The NPI number for Anthony Kulukulualani is 1568950319. It was assigned to this individual provider in the NPPES registry on April 27, 2018.

Q: What is Anthony Kulukulualani's specialty?

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

Active since April 27, 2018PECOS EnrolledAccepts Medicare Assignment

2100 STANTONSBURG RD, GREENVILLE, NC 27834(252) 744-2663(252) 744-2419 Get Directions Write a Review

NPPES record last updated: January 19, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 19, 2022, Dec 17, 2020, Apr 27, 2018 (3 updates tracked since 2018).

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About Dr. Anthony Kapoo Keoni Kulukulualani Iii Md NPPES

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

DR. ANTHONY KAPOO KEONI KULUKULUALANI III MD (NPI 1568950319) is an individual student in an organized health care education/training program in Greenville, North Carolina, licensed in North Carolina (RTL18-1059) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS and is a graduate of Tufts University School Of Medicine (2018).

NPPES Registry Identity

NPI1568950319

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. ANTHONY KAPOO KEONI KULUKULUALANI IIICredential: MD

Location Address2100 STANTONSBURG RDGreenville, NC 27834-2818

Mailing Address2100 Stantonsburg RdGreenville, NC 27834-2818 · (252) 744-2663 · Fax (252) 744-2419

Phone(252) 744-2663

Fax(252) 744-2419

Sole ProprietorNo

Medical School CMSTufts University School Of MedicineGraduated 2018

Enumeration DateApril 27, 2018

Last NPPES UpdateJanuary 19, 20223 updates tracked since enumeration

NPPES CertifiedJanuary 19, 2022

✔ NPI 1568950319 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 NC · RTL18-1059

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.

2100 STANTONSBURG RD, Greenville, NC 27834

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Anthony Kapoo Keoni Kulukulualani Iii Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1658620802

PECOS Enrollment IDI20240206000679

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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. STEPHEN ERIC GREGG M.D.

Student in an Organized Health Care Education/Training Program