Mary Kukolich, MD
Mary Kukolich, MD is a Clinical Genetics (M.D.) Physician in Fort Worth, TX, registered under NPI 1912918111. 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 750 8TH AVE STE 200, Fort Worth, TX 76104. 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 |
|---|---|---|
| E5817 | TX | Clinical Genetics (M.D.) Physician primary |
| E5817 | TX | Pediatrics Physician |
This provider holds licence E5817 issued in TX. 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 - Pediatric Medicine
- PAC ID
- 2062408453
Medicare enrolment is recorded as approved under the provider type Practitioner - Pediatric Medicine. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Clinical Genetics (M.D.) covers
A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. NUCC Health Care Provider Taxonomy, code 207SG0201X
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 | |
|---|---|---|---|---|
| 207SG0201X | Clinical Genetics (M.D.) Physician Clinical Genetics (M.D.) | E5817 | TX | primary |
| 208000000X | Pediatrics Physician | E5817 | TX |
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 | 1912918111 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Aug 11, 2006 |
| Last updated | May 17, 2021 |
| Status | Active |
| Sole proprietor | No |
| Credential | MD |
| Practice address |
750 8TH AVE STE 200 Fort Worth, TX 76104 (682) 885-2170 Fax (817) 335-8277 |
| Mailing address |
PO BOX 733784 Dallas, TX 75373 |
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 | 9 | 1 | 2 | 9 | 1 | 8 | 1 | 1 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 9 | 2 | 2 | 9 | 1 | 7 | 1 | 2 |
Sum = 59 · next multiple of 10 = 60 · check digit = 1 · actual last digit = 1
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.