NPIMap

Individual provider Active NPI

Samuel T Kunkel, M.D.

  • Orthopaedic Surgery Physician
  • Lebanon, NH
National Provider Identifier
1154731271
Registry record updated Jun 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
17925 Issued in NH
Practice address
One Medical Center Dr
DHMC Department of Orthopaedic Surgery
Lebanon, NH 03756-0001
Phone
(603) 650-7123
NPI assigned
Apr 28, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Orthopaedic Surgery Physician 207X00000X 17925 NH Primary

Addresses

Primary practice location

One Medical Center Dr
DHMC Department of Orthopaedic Surgery
Lebanon, NH 03756-0001

Mailing address

One Medical Center Dr
DHMC Department of Orthopaedic Surgery
Lebanon, NH 03756-0001
Phone (603) 650-7123

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200812002978 NH Practitioner - Orthopedic Surgery 3375849524 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Cincinnati College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dartmouth-Hitchcock ClinicGroup PAC ID 4183537509, 1,445 clinicians
Mary Hitchcock Memorial HospitalGroup PAC ID 4486561164, 1,269 clinicians

Practice addresses (Care Compare)

1 Elliot Way
Manchester, NH 03103-3502
Phone (603) 669-5300

1 Medical Ctr Dr
Lebanon, NH 03756-1000
Phone (603) 650-5000

100 Hitchcock Way
Manchester, NH 03104-4125
Phone (603) 695-2500

100 McGregor St
Manchester, NH 03102-3730
Phone (603) 663-5310

2300 Southwood Dr
Nashua, NH 03063-1818
Phone (603) 577-4000

Hospital & facility affiliations

  • Amedisys Home Health Home health agency, Portsmouth, NH, CCN 307006
  • Granite Vna, Inc Home health agency, Concord, NH, CCN 307000
  • Vna Home Health and Hospice Services, Inc Home health agency, Manchester, NH, CCN 307003
  • Bayada Home Health Care Inc. Home health agency, Londonderry, NH, CCN 307098
  • Interim Healthcare Home health agency, Manchester, NH, CCN 307049
  • Mary Hitchcock Memorial Hospital Hospital, Lebanon, NH, CCN 300003
  • Catholic Medical Center Hospital, Manchester, NH, CCN 300034
  • Elliot Hospital Hospital, Manchester, NH, CCN 300012
  • St Joseph Hospital Hospital, Nashua, NH, CCN 300011

Merit-based Incentive Payment System (MIPS)

Final score
79.66 of 100Reported as apm
Quality
53.51
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
79.66 of 100Reported as apm
Quality
53.51
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement26
Knee replacement41

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17925NHMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Hitchcock Memorial Hospital CurrentSince Jul 1, 2020 Accepting new patients
Dartmouth-Hitchcock Clinic CurrentSince Jul 1, 2020 Accepting new patients
Mary Hitchcock Memorial Hospital CurrentSince Jul 1, 2020 Accepting new patients

Locations

1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922

100 Hitchcock Way
Manchester, NH 03104
Phone (603) 629-1870

Interoperability endpoints

  • Direct secure messaging: skunkel148502@direct.dartmouth-hitchcock.org

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 and National Provider Directory roles.

Hospital & facility affiliations 12

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": "1398643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591920000000",
    "number": "1154731271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE MEDICAL CENTER DR",
            "address_2": "DHMC DEPARTMENT OF ORTHOPAEDIC SURGERY",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037560001",
            "telephone_number": "603-650-7123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE MEDICAL CENTER DR",
            "address_2": "DHMC DEPARTMENT OF ORTHOPAEDIC SURGERY",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037560001",
            "telephone_number": "603-650-7123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNKEL",
        "first_name": "SAMUEL",
        "middle_name": "T",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-28",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NH",
            "license": "17925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, NH

Sources for this page

Verify at the official NPI Registry.