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 Enrolled

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: October 18, 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.

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

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 Oscar Health Plan of North Carolina, Inc, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Anthony Kapoo Keoni Kulukulualani Iii 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.

Medicare Billing Reassignment

Medicare enrollment records show Anthony Kulukulualani reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of North Carolina At Chapel Hill

71 mi

Family Medicine

401 E WHITAKER MILL RD STE 2100
Raleigh, NC 27608

Reassigned Medicare billing, North Carolina enrollment
2,797 clinicians in this Medicare group

NPI 1972912285 (984) 974-4832

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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