BENJAMIN KUKULL MD
NPI 1588050157
Pathology - Molecular Genetic Pathology in Salt Lake City, UT
About Benjamin Kukull Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BENJAMIN KUKULL MD (NPI 1588050157) is an individual molecular genetic pathology provider in Salt Lake City, Utah, licensed in Utah (11184892-1205) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Legacy Emanuel Medical Center, and maintains a secondary practice location in Portland.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Benjamin Kukull 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.
Medicare Billing Reassignments
2Medicare enrollment records show Benjamin Kukull reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Salem, OR 97301
- Reassigned Medicare billing, Oregon enrollment
- 26 clinicians in this Medicare group
Portland, OR 97232
- Reassigned Medicare billing, Oregon and Washington enrollments
- Also billed through NPI 1568618239 (Washington)
- 27 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 7
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Legacy Emanuel Medical Center
Acute Care Hospitals · Portland, ORLegacy Good Samaritan Medical Center
Acute Care Hospitals · Portland, ORLegacy Mount Hood Medical Center
Acute Care Hospitals · Gresham, ORLegacy Meridian Park Medical Center
Acute Care Hospitals · Tualatin, ORLegacy Salmon Creek Medical Center
Acute Care Hospitals · Vancouver, WAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 84112 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SALT LAKE CITY, UT 84112
SALT LAKE CITY, UT 84112
SALT LAKE CITY, UT 84112
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 Benjamin Kukull's NPI number?
The NPI number for Benjamin Kukull is 1588050157. It was assigned to this individual provider in the NPPES registry on April 10, 2015.
Where is Benjamin Kukull located?
Benjamin Kukull practices at 15 Medical Dr Ste 1100, Salt Lake City, UT 84112. The listed phone number is (801) 581-4390.
What is Benjamin Kukull's specialty?
The primary specialty registered for this NPI is Pathology, specializing in Molecular Genetic Pathology, with taxonomy code 207ZP0007X.
Is Benjamin Kukull enrolled in Medicare?
Yes. Benjamin Kukull is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Benjamin Kukull's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Kukull reassigns Medicare benefits to 2 organizations: Pacific Pathology Associates, Inc. (Salem, OR) and Cascade Pathology Services, Corp (Portland, OR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Benjamin Kukull's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Benjamin Kukull accept?
Health plans from Blue Cross and Blue Shield of Texas and Moda Health Plan, Inc. list Benjamin Kukull as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Benjamin Kukull affiliated with any hospitals?
According to CMS data, Benjamin Kukull is affiliated with Legacy Emanuel Medical Center, Legacy Good Samaritan Medical Center, Legacy Mount Hood Medical Center, Legacy Meridian Park Medical Center and Legacy Salmon Creek Medical Center.
When was this NPI record last updated?
The NPPES record for Benjamin Kukull was last updated on June 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.
# Benjamin Kukull, MD · NPI 1588050157
Molecular Genetic Pathology physician in Salt Lake City, Utah. Individual provider, active in the CMS NPPES registry since April 10, 2015.
## Identity
- **NPI:** 1588050157 (Entity type: Individual)
- **Enumerated:** April 10, 2015
- **Primary specialty:** Pathology - Molecular Genetic Pathology · taxonomy 207ZP0007X
- **State license:** 11184892-1205 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 15 MEDICAL DR STE 1100, Salt Lake City, UT 84112-1100
- **Phone:** (801) 581-4390
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Pacific Pathology Associates, Inc. (NPI 1205997889, Salem, OR); Cascade Pathology Services, Corp (NPI 1154465656, Portland, OR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** June 11, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1588050157) · Data from the CMS NPPES public registry.