Individual provider Active NPI

Kyle Tedd Kunz, MD

  • Internal Medicine Physician
  • Hinsdale, IL
National Provider Identifier
1215457429
Registry record updated Apr 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036152425 Issued in IL
Practice address
12 Salt Creek LN Ste 310
Hinsdale, IL 60521-8621
Phone
(855) 947-7371
NPI assigned
Jun 20, 2017
Last updated
Apr 18, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2017020356 MO
Internal Medicine Physician 207R00000X 036152425 IL Primary

Addresses

Primary practice location

12 Salt Creek LN Ste 310
Hinsdale, IL 60521-8621

Mailing address

12 Salt Creek LN Ste 310
Hinsdale, IL 60521-8621
Phone (855) 947-7371

Other practice location 1

259 E Erie St Ste 2350
Chicago, IL 60611-3370
Phone (312) 926-6000

Other practice location 2

1 Barnes Jewish Hospital Plz
Saint Louis, MO 63110-1003
Phone (314) 362-1930

Other identifiers 1

IdentifierTypeStateIssuer
2017020356MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 5, 2022 through Apr 5, 2028

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Harper Health Hinsdale CurrentSince Apr 24, 2022 Accepting new patients

Locations

12 Salt Creek Ln
Ste 310
Hinsdale, IL 60521
Phone (630) 789-7800

Interoperability endpoints

  • Direct secure messaging: kyle.kunz@27209220882436.direct.elationemr.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1497916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650240000000",
    "number": "1215457429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 SALT CREEK LN STE 310",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605218621",
            "telephone_number": "855-947-7371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 SALT CREEK LN STE 310",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605218621",
            "telephone_number": "855-947-7371"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "259 E Erie St Ste 2350",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606113370",
            "country_code": "US",
            "telephone_number": "312-926-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Barnes Jewish Hospital Plz",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631101003",
            "country_code": "US",
            "telephone_number": "314-362-1930",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUNZ",
        "first_name": "KYLE",
        "middle_name": "TEDD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-20",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2017020356",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036152425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2017020356",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinsdale, IL

Sources for this page

Verify at the official NPI Registry.