Individual provider Active NPI

Kunal B Buch, M.D.

  • Nephrology Physician
  • Lawrenceville, GA
National Provider Identifier
1124373196
Registry record updated Sep 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
30322 Issued in GA
Practice address
601A Professional Dr
Suite 235
Lawrenceville, GA 30046
Phone
(470) 292-3957
Fax
(470) 292-3683
NPI assigned
Jul 17, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 30322 GA Primary
Internal Medicine Physician 207R00000X 201501475 NC

Addresses

Primary practice location

601A Professional Dr
Suite 235
Lawrenceville, GA 30046

Mailing address

PO Box 3877
Joliet, IL 60434-3877
Phone (815) 714-7149

Other practice location 1

3268 Greenbriar Pkwy SW Ste B
Atlanta, GA 30331-2604
Phone (470) 292-3957

Other practice location 2

3660 Flat Shoals Rd Ste 250
Decatur, GA 30034-1637
Phone (678) 935-6090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20210407000543 GA Practitioner - Nephrology 6608186325 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Emory University School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kidney Care Center Gwinnett LLCGroup PAC ID 0042544652, 4 clinicians

Practice addresses (Care Compare)

601 A Professional Dr
Suite 235
Lawrenceville, GA 30046-3325
Phone (470) 292-3957

Hospital & facility affiliations

  • Veritas Dialysis Dialysis facility, Stone Mountain, GA, CCN 852502
  • South Fulton Dialysis Center Dialysis facility, Atlanta, GA, CCN 112656
  • Emory Decatur Hospital Hospital, Decatur, GA, CCN 110076
  • Emory University Hospital Midtown Hospital, Atlanta, GA, CCN 110078
  • Piedmont Hospital, Inc Hospital, Atlanta, GA, CCN 110083

Merit-based Incentive Payment System (MIPS)

Final score
87.29 of 100Reported as group
Quality
70.79
Improvement activities
40
Cost
81.32

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
201501475NCMDInternal Medicine Physician
30322GAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Apogee Medical Group Georgia Internal Medicine CurrentSince Jun 8, 2022 Accepting new patients
Kidney Care Center Gwinnett LLC Nephrology CurrentSince Apr 2, 2021 Accepting new patients
Cogent Healthcare of Georgia PC Internal Medicine CurrentSince Jul 31, 2023 Accepting new patients
Dialysis Care Center Duluth LLC PastSince Feb 11, 2024 Accepting new patients
Southeastern Regional Medical Center Past Accepting new patients
Southeastern Regional Medical Center Past Accepting new patients

Locations

15059 N Scottsdale Rd
Ste 600
Scottsdale, AZ 85254
Phone (602) 778-3601

3268 Greenbriar Pkwy SW
Ste B
Atlanta, GA 30331
Phone (470) 292-3957

705 Dixie St
Carrollton, GA 30117
Phone (770) 812-9666

3660 Flat Shoals Rd
Ste 250
Decatur, GA 30034
Phone (404) 244-1813

3980 Rogers Bridge Rd
Duluth, GA 30097
Phone (470) 961-5700

1170 Cleveland Ave
East Point, GA 30344
Phone (404) 305-3500

601 Professional Dr
Ste 235
Lawrenceville, GA 30046
Phone (470) 292-3957

350 Hospital Dr
Macon, GA 31217
Phone (478) 751-0367

1115 Mount Zion Rd
Ste J
Morrow, GA 30260
Phone (404) 883-9140

2220 Wisteria Dr
Ste 208
Snellville, GA 30078

2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139

601 Dallas Hwy
Villa Rica, GA 30180
Phone (770) 456-3000

Organizations & group practices 6

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

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": "1342483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1124373196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3877",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604343877",
            "telephone_number": "815-714-7149",
            "fax_number": "815-435-5080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601A PROFESSIONAL DR",
            "address_2": "SUITE 235",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "30046",
            "telephone_number": "470-292-3957",
            "fax_number": "470-292-3683"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3268 Greenbriar Pkwy SW Ste B",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303312604",
            "country_code": "US",
            "telephone_number": "470-292-3957",
            "fax_number": "470-292-3683",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3660 Flat Shoals Rd Ste 250",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "GA",
            "postal_code": "300341637",
            "country_code": "US",
            "telephone_number": "678-935-6090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUCH",
        "first_name": "KUNAL",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-17",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "GA",
            "license": "30322",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "201501475",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

Verify at the official NPI Registry.