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MBK GASTRO LLC
NPI 1912598699
Internal Medicine - Gastroenterology in Lawrenceville, GA

Active since January 27, 2021
763 OLD NORCROSS RD, LAWRENCEVILLE, GA 30046(770) 883-1176(678) 985-1999 Get Directions Write a Review

NPPES record last updated: March 29, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 29, 2021, Jan 27, 2021 (2 updates tracked since 2021).

About Mbk Gastro Llc NPPES

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

MBK GASTRO LLC (NPI 1912598699) is a healthcare organization registered as a gastroenterology in Lawrenceville, Georgia and active in the NPI registry since January 2021. The organization lists Mark B Kukler, Managing Physician, as its authorized official.

NPPES Registry Identity

NPI1912598699
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameMBK GASTRO LLC
Location Address763 OLD NORCROSS RDLawrenceville, GA 30046-4317
Mailing Address763 Old Norcross RdLawrenceville, GA 30046-4317 · (770) 883-1176 · Fax (678) 985-1999
Phone(770) 883-1176
Fax(678) 985-1999
Organization SubpartYes
Authorized OfficialMark B KuklerManaging Physician · (770) 883-1176
Enumeration DateJanuary 27, 2021
Last NPPES UpdateMarch 29, 20212 updates tracked since enumeration
NPPES CertifiedMarch 29, 2021
✔ NPI 1912598699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
763 OLD NORCROSS RD, Lawrenceville, GA 30046
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mbk Gastro Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mbk Gastro LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mark Kukler, D.O.
Gastroenterology
NPI 1093765265
763 OLD NORCROSS RD
Lawrenceville, GA 30046
(678) 985-2000
✔ PECOS✔ Accepts MedicareSame address

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

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 Mbk Gastro LLC's NPI number?

The NPI number for Mbk Gastro LLC is 1912598699. It was assigned to this organization in the NPPES registry on January 27, 2021.

Where is Mbk Gastro LLC located?

Mbk Gastro LLC is located at 763 Old Norcross Rd, Lawrenceville, GA 30046. The listed phone number is (770) 883-1176.

What is Mbk Gastro LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Mbk Gastro LLC enrolled in Medicare?

Yes. Mbk Gastro LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mbk Gastro LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Gastroenterology) reassigns their Medicare billing to Mbk Gastro LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Mbk Gastro LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Mbk Gastro LLC 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.

When was this NPI record last updated?

The NPPES record for Mbk Gastro LLC was last updated on March 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.