Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charles J Kucera, MD

Individual provider Family Medicine Physician · NPI 1811004351

Charles J Kucera, MD is a Family Practice in Sumner, Washington. Graduated from Rush Medical College of Rush University in 1990, 36 years ago. Practices with Select Outpatient Services Inc, a 790-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois, Washington and Wisconsin.

Years since qualifying
36
Trained at
Rush Medical College of Rush University
Licensed in
IL, WA, WI
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

5814 Graham Ave Ste 100
Sumner, WA 98390-2728
Phone: (253) 891-7450
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD60057955 (WA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 41843 (WI)
Family Medicine Physician Taxonomy 207Q00000X · Licence 36085832 (IL)

Record details

NPI number1811004351
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 23, 2006
Last updated in NPPESMarch 27, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Also practisesGENERAL SURGERY
Medical schoolRUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Graduated 1990 (36 years in practice)
Group practice Select Outpatient Services Inc — 790 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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