DR. SHELDON J KUKAFKA M.D.
NPI 1982600607
Internal Medicine - Cardiovascular Disease in Somerset, NJ

Q: What is Sheldon Kukafka's NPI number?

The NPI number for Sheldon Kukafka is 1982600607. It was assigned to this individual provider in the NPPES registry on June 27, 2005.

Q: What is Sheldon Kukafka's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Sheldon Kukafka was last updated on May 1, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 27, 2005PECOS EnrolledAccepts Medicare Assignment

93.71/100

CMS Quality Rating

75 VERONICA AVE, STE 101, SOMERSET, NJ 08873(732) 247-7444(732) 247-4519 Get Directions Write a Review

NPPES record last updated: May 1, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 1, 2024, Mar 13, 2017, Feb 9, 2017 (3 updates tracked since 2017).

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About Dr. Sheldon J Kukafka M.d. NPPES

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

DR. SHELDON J KUKAFKA M.D. (NPI 1982600607) is an individual cardiovascular disease provider in Somerset, New Jersey, licensed in New Jersey (25MA07092400) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Robert Wood Johnson University Hospital, and is a graduate of State University Of New York At Buffalo School Of Medicine (1992).

NPPES Registry Identity

NPI1982600607

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameDR. SHELDON J KUKAFKACredential: M.D.

Location Address75 VERONICA AVE, STE 101Somerset, NJ 08873-5002

Mailing Address75 Veronica Ave, Suite 101Somerset, NJ 08873-5002 · (732) 247-7444 · Fax (732) 247-5119

Phone(732) 247-7444

Fax(732) 247-4519

Sole ProprietorNo

Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 1992

Enumeration DateJune 27, 2005

Last NPPES UpdateMay 1, 20243 updates tracked since enumeration

NPPES CertifiedMay 1, 2024

✔ NPI 1982600607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in NJ · 25MA07092400

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Also ListedNuclear Medicine · Nuclear CardiologyTaxonomy 207UN0901X · License 25MA07092400 (NJ)

75 VERONICA AVE, Somerset, NJ 08873

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Other Identifiers 1

Medicaid8357706NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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

Dr. Sheldon J Kukafka M.d. 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 ID6901081215

PECOS Enrollment IDI20110502000721

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 14

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

649 services367 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

603 services348 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

238 services115 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

220 services100 patients

Injection, regadenoson, 0.1 mg J2785

Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.

180 services45 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician 93015

An exercise or drug-induced heart stress test with ECG is a procedure performed by a doctor to assess how your heart responds to exertion. It involves monitoring your heart's electrical activity while you exercise or after medication is given to mimic exercise effects.

116 services113 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

111 services104 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

84 services84 patients

Anticoagulant management of patient taking warfarin 93793

Anticoagulant management with warfarin involves monitoring and adjusting your medication to prevent blood clots while minimizing the risk of bleeding. Regular blood tests measure your response to warfarin, helping adjust your dose if necessary. It's crucial to maintain a consistent diet and promptly report any changes in your health.

59 services27 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

37 services34 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

24 services21 patients

Nuclear medicine studies of heart muscle at rest and with stress and spect 78452

Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.

20 services20 patients

Technetium tc-99m sestamibi, diagnostic, per study dose A9500

Technetium Tc-99m Sestamibi is a diagnostic test used to create images of your heart or breast tissues. It involves a safe radioactive substance injection that helps doctors to detect any abnormalities or changes in these tissues.

18 services18 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

17 services17 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Robert Wood Johnson University Hospital

Acute Care Hospitals · New Brunswick, NJ

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310038

LocationOne Robert Wood Johnson PlaceNew Brunswick, NJ 08901 · Middlesex County

Emergency services Birthing friendly

Saint Peter's University Hospital

Acute Care Hospitals · New Brunswick, NJ

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310070

Location254 Easton AveNew Brunswick, NJ 08901 · Middlesex County

Emergency services Birthing friendly

Centrastate Medical Center

Acute Care Hospitals · Freehold, NJ

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310111

Location901 West Main StreetFreehold, NJ 07728 · Monmouth County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08873 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

$144.86 typical visit price

range $63.84 – $190.92

Typical copayment $36.21 (range $15.96 – $47.73)

Most-billed visit code 99204

Established Patient

$79.09 typical visit price

range $20.97 – $155.92

Typical copayment $19.77 (range $5.24 – $38.98)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.71/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

77.79

Promoting Interoperability

100

Improvement Activities

Leave this field empty

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.

RAJESH SACHDEO M.D.

Psychiatry & Neurology (Neurology)

75 VERONICA AVE, SUITE 202
SOMERSET, NJ 08873

Somerset County (732) 246-1311

CRAIG LAMPERT MD

Internal Medicine (Hematology & Oncology)

75 VERONICA AVE, SUITE 201
SOMERSET, NJ 08873

Somerset County (732) 246-4882

DR. ANAND U KULKARNI M.D.

Internal Medicine (Cardiovascular Disease)

75 VERONICA AVE, STE 101
SOMERSET, NJ 08873

Somerset County (732) 247-7444

MARY ELIZABETH SCHWARTZER RD

Dietitian, Registered

75 VERONICA AVE, SUITE 204
SOMERSET, NJ 08873

Somerset County (732) 828-0002

MS. RACHEL CARROLL APN, NP

Nurse Practitioner (Family)

75 VERONICA AVE, SUITE 201
SOMERSET, NJ 08873

Somerset County (732) 246-4882

DR. ABIGAIL L. LORE M.D.

Internal Medicine

75 VERONICA AVE, SUITE 204
SOMERSET, NJ 08873

Somerset County (732) 828-0002

BEHAVIORAL SOLUTIONS PC

Psychiatry & Neurology (Psychiatry)

75 VERONICA AVE
SOMERSET, NJ 08873

Somerset County (732) 729-1200

MRS. JESSICA A SERVON MONTALI RD

Dietitian, Registered

75 VERONICA AVE
SOMERSET, NJ 08873

Somerset County (732) 570-1219

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 Sheldon Kukafka's NPI number?

The NPI number for Sheldon Kukafka is 1982600607. It was assigned to this individual provider in the NPPES registry on June 27, 2005.

Where is Sheldon Kukafka located?

Sheldon Kukafka practices at 75 Veronica Ave Ste 101, Somerset, NJ 08873. The listed phone number is (732) 247-7444.

What is Sheldon Kukafka's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Sheldon Kukafka enrolled in Medicare?

Yes. Sheldon Kukafka 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 Sheldon Kukafka accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Sheldon Kukafka 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 Sheldon Kukafka affiliated with any hospitals?

According to CMS data, Sheldon Kukafka is affiliated with Robert Wood Johnson University Hospital, Saint Peter's University Hospital and Centrastate Medical Center.

When was this NPI record last updated?

The NPPES record for Sheldon Kukafka was last updated on May 1, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.