Mbk Gastro LLC
NPI 1912598699ActiveOrganization· Internal Medicine, Gastroenterology· Lawrenceville, GA
Internal Medicine, Gastroenterology in Lawrenceville, Georgia, registered in NPPES in January 2021, part of Mbk Gastro LLC. The authorized official on file is Mark B. Kukler, DO, Managing Physician. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1912598699 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Mbk Gastro LLC |
| NPI issued | Jan 27, 2021 |
| Last updated in NPPES | Mar 29, 2021 |
| Certified by provider | Mar 29, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Gastroenterology Primary | 207RG0100X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (GA) |
|---|
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