DR. NEAL SCOTT KUCERA DO
NPI 1669174611
Student in an Organized Health Care Education/Training Program in Goodyear, AZ

Q: What is Neal Kucera's NPI number?

The NPI number for Neal Kucera is 1669174611. It was assigned to this individual provider in the NPPES registry on March 21, 2023.

Q: What is Neal Kucera's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Neal Kucera was last updated on March 21, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 21, 2023PECOS Enrolled

13677 W MCDOWELL RD, GOODYEAR, AZ 85395(623) 848-5612 Get Directions Write a Review

NPPES record last updated: March 21, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Neal Scott Kucera Do NPPES

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

DR. NEAL SCOTT KUCERA DO (NPI 1669174611) is an individual student in an organized health care education/training program in Goodyear, Arizona and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and maintains a secondary practice location in Glendale.

NPPES Registry Identity

NPI1669174611

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. NEAL SCOTT KUCERACredential: DO

Location Address13677 W MCDOWELL RDGoodyear, AZ 85395-2635

Mailing Address6010 W Kristal WayGlendale, AZ 85308-7679 · (218) 348-7610

Phone(623) 848-5612

Sole ProprietorNo

Enumeration DateMarch 21, 2023

NPPES CertifiedMarch 21, 2023

✔ NPI 1669174611 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

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.

13677 W MCDOWELL RD, Goodyear, AZ 85395

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Secondary Practice Location 1

Location 118701 N 67th AveGlendale, AZ 85308-7100 · Phone (623) 561-1000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Neal Scott Kucera Do 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.