Benjamin Kukull, MD
Benjamin Kukull, MD is a Molecular Genetic Pathology (Pathology) Physician in Salt Lake City, UT, registered under NPI 1588050157. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
The practice address on file is 15 MEDICAL DR STE 1100, Salt Lake City, UT 84112. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 11184892-1205 | UT | Molecular Genetic Pathology (Pathology)… primary |
This provider holds licence 11184892-1205 issued in UT. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Pathology
- PAC ID
- 6305154188
Enrolled in Medicare 3 times, across 3 states:
| State | Enrollment ID | Provider type |
|---|---|---|
| Oregon | I20211108002808 | Practitioner - Pathology |
| Washington | I20211117003314 | Practitioner - Pathology |
| Texas | I20260116002378 | Practitioner - Pathology |
Medicare enrolment is recorded as approved under the provider type Practitioner - Pathology. There are 3 separate enrolment records across 3 states (OR, WA, TX). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Molecular Genetic Pathology covers
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. NUCC Health Care Provider Taxonomy, code 207ZP0007X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 207ZP0007X | Molecular Genetic Pathology (Pathology) Physician Molecular Genetic Pathology | 11184892-1205 | UT | primary |
| 390200000X | Student in an Organized Health Care Education/Training Program | — | — |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1588050157 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Apr 10, 2015 |
| Last updated | Jun 11, 2019 |
| Status | Active |
| Sole proprietor | No |
| Credential | MD |
| Practice address |
15 MEDICAL DR STE 1100 Salt Lake City, UT 84112 (801) 581-4390 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 5 | 8 | 8 | 0 | 5 | 0 | 1 | 5 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 5 | 7 | 8 | 0 | 5 | 0 | 1 | 1 |
Sum = 53 · next multiple of 10 = 60 · check digit = 7 · actual last digit = 7
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.