Individual provider Active NPI

Rene E Kunhardt, MD

  • Cardiovascular Disease Physician
  • Trinity, FL
National Provider Identifier
1114915824
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME79231 Issued in FL
Practice address
2035 Little Rd
Trinity, FL 34655-4421
Phone
(727) 842-9486
Fax
(727) 849-2623
NPI assigned
Oct 7, 2005
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME79231 FL Primary
Interventional Cardiology Physician 207RI0011X ME79231 FL

Addresses

Primary practice location

2035 Little Rd
Trinity, FL 34655-4421

Mailing address

2035 Little Rd
Trinity, FL 34655-4421
Phone (727) 842-9486

Other practice location 1

14100 Fivay Rd
Suite 310
Hudson, FL 34667-7180
Phone (727) 862-3202

Other identifiers 6

IdentifierTypeStateIssuer
6506906001OtherCIGNA
27664OtherBLUE CROSS BLUE SHIELD
2323689OtherAETNA
270610OtherAVMED
2500783OtherUNITED HEALTH CARE
258746700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20041122000926 FL Practitioner - Cardiovascular Disease (Cardiology) 8921063611 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Interventional Cardiac Consultants PLCGroup PAC ID 7719955061, 7 clinicians

Practice addresses (Care Compare)

11308 State Rd
Suite a
New Port Richey, FL 34655-4421
Phone (787) 842-9486

14100 Fivay Rd
Suite 310
Hudson, FL 34667-7160
Phone (727) 862-3202

2035 Little Rd
Trinity, FL 34655-4421
Phone (727) 842-9486

3253 N McMullen Booth Rd
Suite 200D
Clearwater, FL 33761-2043
Phone (727) 842-9486

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME79231FLMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Interventional Cardiac Consultants PLC Cardiovascular Disease CurrentSince Apr 1, 2001 Accepting new patients
Pinellas Ekg Interpreters Inc Cardiovascular Disease Past Accepting new patients
Radiology Associates LLC Past Accepting new patients

Locations

14100 Fivay Rd
Ste 310
Hudson, FL 34667
Phone (727) 376-7820

5341 Grand Blvd
Ste 106
New Prt Rchy, FL 34652
Phone (727) 376-7820

3890 Tampa Rd
Ste 407
Palm Harbor, FL 34684
Phone (727) 376-7820

2035 Little Rd
Trinity, FL 34655
Phone (727) 842-9486

2055 Little Rd
Trinity, FL 34655
Phone (727) 376-7820

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1245/brand/1/csg/1/fhir/r4
  • Direct secure messaging: rene.kunhardt.1@1245.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1114915824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2035 LITTLE RD",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346554421",
            "telephone_number": "727-842-9486",
            "fax_number": "727-849-2623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2035 LITTLE RD",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346554421",
            "telephone_number": "727-842-9486",
            "fax_number": "727-849-2623"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14100 Fivay Rd",
            "address_2": "Suite 310",
            "address_purpose": "LOCATION",
            "city": "Hudson",
            "state": "FL",
            "postal_code": "346677180",
            "country_code": "US",
            "telephone_number": "727-862-3202",
            "fax_number": "727-862-2182",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUNHARDT",
        "first_name": "RENE",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-07",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME79231",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME79231",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6506906001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "27664",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2323689",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "270610",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "2500783",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "258746700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Trinity, FL

Sources for this page

Verify at the official NPI Registry.