Lori Diane Kunzelman, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

29421 Issued in AZ

Practice address

3501 N Scottsdale Rd
Ste 130
Scottsdale, AZ 85251-5648

Phone

(480) 425-5000

Fax

(480) 945-6548

NPI assigned

Oct 20, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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 Radiologists LTD

  • Vascular & Interventional Radiology Physician
  • Scottsdale, AZ
  • NPI 1891762092

  Diagnostic Radiology

  NPD (past)

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218758400000",
    "number": "1235128273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3114",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852713114",
            "telephone_number": "480-425-5063",
            "fax_number": "480-425-5010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 N SCOTTSDALE RD",
            "address_2": "STE 130",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852515648",
            "telephone_number": "480-425-5000",
            "fax_number": "480-945-6548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNZELMAN",
        "first_name": "LORI",
        "middle_name": "DIANE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-20",
        "last_updated": "2008-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "29421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "633348",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roshni M Kundranda, MD
• Jesse Kunitomo, DPT
• Marilyn M Kuntz-Simpson, PA-C, MHSC
• Melanie Joan Kunz, RNC, WHNP
• Tracey Lynn Kunz, MOTL
• Jean Kuo, MD
• Mark Daniel Kuo, MD
• Michelle Kuo, MED, LPC
• Pei Jung Kuo, L AC
• Phillip Hsin Kuo, M.D. PH.D.

• All providers in Scottsdale, AZ
• Diagnostic Radiology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.