Tal Buntinx, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

MD17705 Issued in RI

Practice address

102 Valley Rd
Middletown, RI 02842-5237

Phone

(401) 239-1800

Fax

(401) 239-1801

NPI assigned

Jun 8, 2017

Last updated

Jul 28, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Talayesa Buntinx Krieg Other name

Medicare fee-for-service enrollment

Enrolled in RI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

University of Florida College of Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aspire Dermatology LLCGroup PAC ID 1759550643, 24 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• The Miriam Hospital Hospital, Providence, RI, CCN 410012
• Southcoast Hospitals Group Hospital, Fall River, MA, CCN 220074

Merit-based Incentive Payment System (MIPS)

Final score

90.23 of 100Reported as group

Quality

95.87

Promoting interoperability

100

Improvement activities

40

Cost

71.56

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://aspire.mmi.prod.fhir.ema-api.com/fhir/r4/
• Direct secure messaging: tbuntinx@aspire.emadirect.md

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aspire Dermatology LLC

  • MOHS-Micrographic Surgery Physician
  • Middletown, RI
  • NPI 1700176849

  Single Specialty

  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• The Miriam Hospital

  • General Acute Care Hospital
  • Providence, RI
  • NPI 1487649430
  Care Compare affiliation
• Southcoast Hospitals Group, Inc

  dba Tobey Hospital

  • General Acute Care Hospital
  • Wareham, MA
  • NPI 1922024835
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627430400000",
    "number": "1013446590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 VALLEY RD",
            "city": "MIDDLETOWN",
            "state": "RI",
            "postal_code": "028425237",
            "telephone_number": "401-239-1800",
            "fax_number": "401-239-1801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 VALLEY RD",
            "city": "MIDDLETOWN",
            "state": "RI",
            "postal_code": "028425237",
            "telephone_number": "401-239-1800",
            "fax_number": "401-239-1801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNTINX",
        "first_name": "TAL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-08",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "RI",
            "license": "MD17705",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "LP03995",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TALAYESA",
            "last_name": "BUNTINX KRIEG",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• April Bell Brosnan, FNP-C
• Ashlin Paige Brown, PA-C
• Joshua Charles Brown, M.D.
• Jennifer Grant Budacki, D.O.
• Ross Michael Budacki, M.D
• Erin Beth Burdick, RN
• Andrea M Burdon, APRN-CNP
• Billie Burke, PA-C
• Diane Lynn Butler, P.T.
• Joseph Campbell, RPH

• Dermatology Physician in Middletown, RI
• Providers in Middletown, RI by specialty
• Dermatology Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.