Individual provider Active NPI

Karl M. Unkenholz, M.D.

  • Emergency Medicine Physician
  • Potsdam, NY
National Provider Identifier
1215914429
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD2019-0916 Issued in NM
Practice address
50 Leroy St
Potsdam, NY 13676-1786
Phone
(315) 265-3300
Fax
(315) 261-6025
NPI assigned
Dec 29, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD14392 HI
Emergency Medicine Physician 207P00000X C53154 CA
Emergency Medicine Physician 207P00000X 207725-1 NY
Emergency Medicine Physician 207P00000X MD2019-0916 NM Primary

Addresses

Primary practice location

50 Leroy St
Potsdam, NY 13676-1786

Mailing address

50 Leroy St
Potsdam, NY 13676-1786
Phone (315) 265-3300

Other practice location 1

275 E 200 S
Salt Lake City, UT 84111-2002
Phone (800) 336-1884

Other identifiers 2

IdentifierTypeStateIssuer
01801445MedicaidNY
686V11OtherNYBLUECROSS BLUESHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NY, MT, NM4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20081002000471 CA Practitioner - Emergency Medicine 1759476492 Reassigns benefits to 1 organization
I20100220000029 NY Practitioner - Emergency Medicine 1759476492 Reassigns benefits to 6 organizations
I20220623001237 MT Practitioner - General Surgery 1759476492 Reassigns benefits to 2 organizations
I20220810001889 NM Practitioner - Emergency Medicine 1759476492 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Emergency Medicine LLCGroup PAC ID 9032546783, 10 clinicians
Chenango Memorial Hospital IncGroup PAC ID 7517853633, 108 clinicians

Practice addresses (Care Compare)

104 Legion Dr
Las Vegas, NM 87701-4804
Phone (505) 426-3500

179 N Broad St
Norwich, NY 13815-1019
Phone (607) 337-4111

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
207725-1NYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Healthcare Services Family Medicine Current Accepting new patients
Emergency Staffing Solutions Inc Emergency Medicine CurrentSince Jun 28, 2024 Accepting new patients
Chenango Memorial Hospital Inc Current Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Jul 19, 2015 Accepting new patients
Chenango Memorial Hospital, Inc CurrentSince Nov 4, 2025 Accepting new patients
Presbyterian Healthcare Services Emergency Medicine CurrentSince Oct 27, 2025 Accepting new patients
Chenango Memorial Hospital Inc Emergency Medicine CurrentSince Nov 4, 2025 Accepting new patients
Mount Eddy Emergency Physicians Medical Group, Inc. Emergency Medicine CurrentSince Jun 15, 2015 Accepting new patients
Canton-Potsdam Hospital CurrentSince May 11, 2020 Accepting new patients
Canton-Potsdam Hospital CurrentSince May 11, 2020 Accepting new patients
Massena Hospital Inc CurrentSince Apr 1, 2020 Accepting new patients
University of Florida Jacksonville Physicians Inc Current Accepting new patients
Las Cruces HB Medical Services LLC Emergency Medicine CurrentSince Sep 24, 2023 Accepting new patients
University of Florida Jacksonville Physicians Inc Emergency Medicine CurrentSince Jul 19, 2015 Accepting new patients
Marcus Daly Memorial Hospital Corporation CurrentSince Aug 16, 2024 Accepting new patients
Gouverneur Hospital CurrentSince Aug 13, 2021 Accepting new patients
Halifax Healthcare Systems Inc Emergency Medicine CurrentSince Aug 18, 2015 Accepting new patients
Massena Hospital, Inc CurrentSince Apr 1, 2020 Accepting new patients
Marcus Daly Memorial Hospital Corporation CurrentSince Aug 16, 2024 Accepting new patients
Southwest Emergency Medical Associates of NM PC Emergency Medicine CurrentSince Dec 1, 2024 Accepting new patients
Gouverneur Hospital CurrentSince Aug 13, 2021 Accepting new patients
Coney Island Medical Practice Plan, P.C. CurrentSince May 10, 2012 Accepting new patients
Ess Hospitalist LLC CurrentSince Jun 28, 2024 Accepting new patients
Medical Services of Suffolk County PC Emergency Medicine CurrentSince Jan 10, 2017 Accepting new patients
Gloversville Emergency Medicine Services PC Emergency Medicine CurrentSince Oct 30, 2018 Accepting new patients
Midpacific Hospitalists LLC Past Accepting new patients
Chenango Memorial Hospital, Inc. Emergency Medicine Past Accepting new patients
Six Rivers Emergency Physicians Emergency Medicine Past Accepting new patients
Island Emergency Medical Services, P.C. Emergency Medicine Past Accepting new patients
Northwest HBP Medical Services LLC Emergency Medicine Past Accepting new patients
Hawaii Emergency Physicians Associated Inc Emergency Medicine PastSince Nov 1, 2012 Accepting new patients
Montefiore Medical Center Emergency Medicine Past Accepting new patients

Locations

914 Pine St
Mount Shasta, CA 96067
Phone (503) 926-6111

303 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 425-2285

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

15255 Max Leggett Pkwy
Jacksonville, FL 32218
Phone (904) 383-1000

1224 W Main St
Hamilton, MT 59840
Phone (406) 375-4823

1200 Westwood Dr
Hamilton, MT 59840
Phone (406) 363-2211

3436 Isleta Blvd SW
Albuquerque, NM 87105
Phone (505) 462-7777

8300 Constitution Ave NE
Bldg D
Albuquerque, NM 87110
Phone (505) 291-2200

7400 Menaul Blvd NE
Albuquerque, NM 87110
Phone (505) 596-2400

601 Martin Luther King Ave NE
Albuquerque, NM 87102
Phone (505) 727-8040

2430 W Pierce St
Carlsbad, NM 88220
Phone (505) 887-4100

2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577

4311 E Lohman Ave
Las Cruces, NM 88011
Phone (505) 556-6800

2450 S Telshor Blvd
Las Cruces, NM 88011
Phone (505) 522-8641

1313 E 32nd St
Silver City, NM 88061
Phone (505) 537-4953

800 E 9th Ave
Truth Or Consequences, NM 87901
Phone (505) 743-1270

2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354

99 E State St
Gloversville, NY 12078
Phone (518) 773-5690

1 Hospital Dr
Massena, NY 13662
Phone (315) 764-1711

179 N Broad St
Norwich, NY 13815
Phone (607) 337-4111

50 Leroy St
Potsdam, NY 13676
Phone (315) 261-6034

201 Market St
Ste E
Potsdam, NY 13676
Phone (315) 274-9102

Interoperability endpoints

  • Direct secure messaging: kunkenholz278298@direct.phs.org
  • Direct secure messaging: kunkenholz469154@direct.uvmhealth.org

Organizations & group practices 33

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.

View all 33

Hospital & facility affiliations 7

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": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1215914429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 LEROY ST",
            "city": "POTSDAM",
            "state": "NY",
            "postal_code": "136761786",
            "telephone_number": "315-265-3300",
            "fax_number": "315-261-6025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 LEROY ST",
            "city": "POTSDAM",
            "state": "NY",
            "postal_code": "136761786",
            "telephone_number": "315-265-3300",
            "fax_number": "315-261-6025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "275 E 200 S",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841112002",
            "country_code": "US",
            "telephone_number": "800-336-1884",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UNKENHOLZ",
        "first_name": "KARL",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-29",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "HI",
            "license": "MD14392",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "C53154",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "207725-1",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NM",
            "license": "MD2019-0916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01801445",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "686V11",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Potsdam, NY

Sources for this page

Verify at the official NPI Registry.