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BENJAMIN KUKULL MD
NPI 1588050157
Pathology - Molecular Genetic Pathology in Salt Lake City, UT

Active since April 10, 2015PECOS EnrolledAccepts Medicare Assignment
15 MEDICAL DR STE 1100, SALT LAKE CITY, UT 84112(801) 581-4390 Get Directions Write a Review

NPPES record last updated: June 11, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1588050157
Entity TypeIndividualMale
Primary Taxonomy207ZP0007X
Provider Legal NameBENJAMIN KUKULLCredential: MD
Location Address15 MEDICAL DR STE 1100Salt Lake City, UT 84112-1100
Mailing Address15 Medical Dr Ste 1100Salt Lake City, UT 84112-1100 · (801) 581-4390
Phone(801) 581-4390
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 10, 2015
Last NPPES UpdateJune 11, 2019
✔ NPI 1588050157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPathology · Molecular Genetic PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0007X
License✔ Licensed in UT · 11184892-1205
Definition

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
15 MEDICAL DR STE 1100, Salt Lake City, UT 84112
Open in Google Maps ↗

Secondary Practice Location 1

Location 13181 SW Sam Jackson Park RdPortland, OR 97239-3011 · Phone (503) 494-8211

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..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

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.

PECOS PAC ID6305154188
PECOS Enrollment IDI20211108002808, I20211117003314
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.

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
245 services131 patients
Pathology examination of tissue using a microscope, moderately high complexity 88307
A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.
127 services52 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
114 services24 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
74 services45 patients
Microscopic genetic analysis of tumor, manual 88360
Microscopic genetic analysis of a tumor involves examining your tumor's genes under a microscope. This helps identify specific genetic changes in the tumor cells. This information can aid in diagnosing, predicting disease progression, and determining the most effective treatment options.
40 services14 patients
Pathology examination of tissue using a microscope, high complexity 88309
A high complexity pathology examination involves studying body tissue under a microscope to identify any abnormalities. This intricate process helps in diagnosing various conditions and deciding on the best treatment plan.
27 services25 patients

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, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380007
Location2801 N Gantenbein AvenuePortland, OR 97227 · Multnomah County
Emergency services Birthing friendly

Legacy Good Samaritan Medical Center

Acute Care Hospitals · Portland, OR
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380017
Location1015 NW 22nd Avenue, W121Portland, OR 97210 · Multnomah County
Emergency services Birthing friendly

Legacy Mount Hood Medical Center

Acute Care Hospitals · Gresham, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380025
Location24800 SE Stark StreetGresham, OR 97030 · Multnomah County
Emergency services Birthing friendly

Legacy Meridian Park Medical Center

Acute Care Hospitals · Tualatin, OR
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380089
Location19300 SW 65th AvenueTualatin, OR 97062 · Washington County
Emergency services Birthing friendly

Legacy Salmon Creek Medical Center

Acute Care Hospitals · Vancouver, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500150
Location2211 NE 139th StreetVancouver, WA 98686 · Clark County
Emergency services Birthing friendly

Physician 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.

New Patient
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

THEODORE SCHULTHEISS MD
Pathology (Anatomic Pathology & Clinical Pathology)
15 MEDICAL DR STE 1100
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-4390
JOSEPH ALEXANDER ZULLO MD, PHD
Pathology (Anatomic Pathology & Clinical Pathology)
15 MEDICAL DR STE 1100
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-4390
SAMUEL HWANG MBBS
Pathology (Anatomic Pathology & Clinical Pathology)
15 MEDICAL DR STE 1100
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-4390
LEO LIN MD/PHD
Pathology (Clinical Pathology)
15 MEDICAL DR STE 1100
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-4390

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.

What insurance does Benjamin Kukull accept?

Health plans from 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 with the weekly NPPES data releases published by CMS.