Active NPI
Timothy E Bunchman, MD
- Pediatric Nephrology Physician
- Akron, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nephrology Physician
- License
- 0101249083
- Practice address
- 1 Perkins SQ
Akron, OH 44308-1063 - Phone
- (330) 543-0541
- Fax
- (330) 543-3270
- NPI assigned
- Feb 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nephrology Physician | 2080P0210X | 4301057213 | MI | |
| Pediatric Nephrology Physician | 2080P0210X | 35.0744921 | OH | |
| Pediatric Nephrology Physician | 2080P0210X | 35.074921 | OR | |
| Pediatric Nephrology Physician | 2080P0210X | 0101249083 | VA | Primary |
Addresses
Primary practice location
1 Perkins SQ
Akron, OH 44308-1063
Mailing address
PO Box 980498
Richmond, VA 23291-1734
Phone (804) 827-2264
Other practice location 1
1000 E Broad St
Richmond, VA 23219-1930
Phone (804) 828-3744
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558407189 | Other | MI | GROUP PIN |
| 4514164 | Medicaid | MI | |
| 350D176310 | Other | MI | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, OH, TN, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Loyola University of Chicago, Stritch School of Medicine, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 E Broad St
Richmond, VA 23219-1930
Phone (804) 828-2467
51 N Dunlap St
Memphis, TN 38105-4625
Phone (901) 287-7337
Hospital & facility affiliations
- Medical College of Virginia Hospitals
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.95 of 100
- Quality
- 69.91
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 77.42
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301057213 | MI | MD | Pediatric Nephrology Physician |
| 35.0744921 | OH | MD | Pediatric Nephrology Physician |
| 35.074921 | OR | MD | Pediatric Nephrology Physician |
| 0101249083 | VA | MD | Pediatric Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Medical Associates of the Medical University of South Carol | Current | Accepting new patients | |
| Ut Lebonheur Pediatric Specialists, Inc. | Pediatric Nephrology | Current | Accepting new patients |
| MCV Associated Physicians | Current | Accepting new patients | |
| University Hospitals Medical Group Inc | Current | Accepting new patients |
Locations
8055 Mayfield Rd
Ste 105
Chesterland, OH 44026
Phone (440) 214-8024
11100 Euclid Ave
Cleveland Heights, OH 44106
171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123
850 Poplar Ave
Bldg 2
Memphis, TN 38105
Phone (901) 287-5594
100 N Humphreys Blvd
Memphis, TN 38120
Phone (901) 747-1800
848 Adams Ave
Memphis, TN 38103
Phone (901) 287-5437
9000 Stony Point Pkwy
Richmond, VA 23235
Phone (804) 560-8906
1250 E Marshall St
Richmond, VA 23298
Phone (804) 628-6990
401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409
1000 E Broad St
Richmond, VA 23219
Interoperability endpoints
- tbunchman555428@ehrdirect.uhhospitals.org
Organizations & group practices 5
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.
-
- Anesthesiology Physician
- Richmond, VA
- NPI 1710959457
-
- Pediatrics Physician
- Memphis, TN
- NPI 1093024101
Pediatric Nephrology
-
- Multi-Specialty Clinic/Center
- Cleveland, OH
- NPI 1669499414
-
- Multi-Specialty Clinic/Center
- Charleston, SC
- NPI 1043241110
-
- Family Medicine Physician
- Charleston, SC
- NPI 1982678496
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Richmond, VA
- NPI 1013091727
-
- General Acute Care Hospital
- Richmond, VA
- NPI 1437175734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707264000000",
"number": "1184699522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 980498",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232911734",
"telephone_number": "804-827-2264",
"fax_number": "804-628-5853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 PERKINS SQ",
"city": "AKRON",
"state": "OH",
"postal_code": "443081063",
"telephone_number": "330-543-0541",
"fax_number": "330-543-3270"
}
],
"practiceLocations": [
{
"address_1": "1000 E Broad St",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "232191930",
"country_code": "US",
"telephone_number": "804-828-3744",
"fax_number": "804-828-6455",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUNCHMAN",
"first_name": "TIMOTHY",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-21",
"last_updated": "2024-02-07",
"certification_date": "2024-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0210X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Nephrology",
"state": "MI",
"license": "4301057213",
"primary": false
},
{
"code": "2080P0210X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Nephrology",
"state": "OH",
"license": "35.0744921",
"primary": false
},
{
"code": "2080P0210X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Nephrology",
"state": "OR",
"license": "35.074921",
"primary": false
},
{
"code": "2080P0210X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Nephrology",
"state": "VA",
"license": "0101249083",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP PIN",
"identifier": "1558407189",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4514164",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "350D176310",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Akron, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; 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.