Active NPI
Michael P Kuncewitch, MD
- Surgical Oncology Physician
- Plainville, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Oncology Physician
- License
- 84913
- Practice address
- 201 N Mountain Rd Ste 202
Plainville, CT 06062-1848 - Phone
- (860) 696-2040
- NPI assigned
- Jun 26, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Oncology Physician | 2086X0206X | 84913 | CT | Primary |
| Surgery Physician | 208600000X | 84913 | CT |
Addresses
Primary practice location
201 N Mountain Rd Ste 202
Plainville, CT 06062-1848
Mailing address
201 N Mountain Rd Ste 202
Plainville, CT 06062-1848
Phone (860) 696-2040
Other practice location 1
435 Lewis Ave
Meriden, CT 06451-2101
Phone (860) 696-2040
Other practice location 2
190 Universal Dr N Ste 101
North Haven, CT 06473-3156
Phone (860) 696-2040
Other practice location 3
80 Seymour St
Hartford, CT 06102-8000
Phone (860) 696-2040
Other practice location 4
100 Grand St
New Britain, CT 06052-2016
Phone (860) 696-2040
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Surgical Oncology
- Education
- New York Medical College, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5169 S Cottonwood St
Suite 440
Murray, UT 84107-6774
Phone (801) 507-3915
Hospital & facility affiliations
- Intermountain Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.07 of 100
- Quality
- 79.77
- Promoting interoperability
- 88.77
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Melanoma (skin cancer) excision | 46 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 276574 | NY | MD | Surgical Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services Inc | Current | Accepting new patients | |
| North Shore - Lij Medical PC | Current | Accepting new patients | |
| North Shore-Lij Medical PC | Current | Accepting new patients | |
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients |
Locations
10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091
450 Lakeville Rd
North New Hyde Park, NY 11042
Phone (516) 321-3000
300 Community Dr
Plandome, NY 11030
972 Brush Hollow Rd
Fl 2
Westbury, NY 11590
Phone (718) 335-0628
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
5169 S Cottonwood St
Ste 440
Salt Lake City, UT 84107
Phone (801) 507-3915
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
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.
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- Internal Medicine Physician
- New Hyde Park, NY
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Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Murray, UT
- NPI 1043220650
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782432000000",
"number": "1245468321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 N MOUNTAIN RD STE 202",
"city": "PLAINVILLE",
"state": "CT",
"postal_code": "060621848",
"telephone_number": "860-696-2040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 N MOUNTAIN RD STE 202",
"city": "PLAINVILLE",
"state": "CT",
"postal_code": "060621848",
"telephone_number": "860-696-2040"
}
],
"practiceLocations": [
{
"address_1": "435 Lewis Ave",
"address_purpose": "LOCATION",
"city": "Meriden",
"state": "CT",
"postal_code": "064512101",
"country_code": "US",
"telephone_number": "860-696-2040",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "190 Universal Dr N Ste 101",
"address_purpose": "LOCATION",
"city": "North Haven",
"state": "CT",
"postal_code": "064733156",
"country_code": "US",
"telephone_number": "860-696-2040",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "80 Seymour St",
"address_purpose": "LOCATION",
"city": "Hartford",
"state": "CT",
"postal_code": "061028000",
"country_code": "US",
"telephone_number": "860-696-2040",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Grand St",
"address_purpose": "LOCATION",
"city": "New Britain",
"state": "CT",
"postal_code": "060522016",
"country_code": "US",
"telephone_number": "860-696-2040",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KUNCEWITCH",
"first_name": "MICHAEL",
"middle_name": "P",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-26",
"last_updated": "2026-06-26",
"certification_date": "2026-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "2086X0206X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Oncology",
"state": "CT",
"license": "84913",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CT",
"license": "84913",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plainville, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2026; 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.