Individual provider Active NPI

Joel C. Kunze, P.A.

  • Physician Assistant
  • Hickory, NC
National Provider Identifier
1265418586
Registry record updated Aug 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
102190 Issued in NC
Practice address
10 3Rd Ave NE
Suite 500
Hickory, NC 28601-5044
Phone
(828) 304-6363
Fax
(828) 304-0033
NPI assigned
Dec 19, 2005
Last updated
Aug 5, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 102190 NC Primary

Addresses

Primary practice location

10 3Rd Ave NE
Suite 500
Hickory, NC 28601-5044

Mailing address

10 3Rd Ave NE
Suite 500
Hickory, NC 28601-5044
Phone (828) 304-6363

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050405001428 NC Practitioner - Physician Assistant 4981651551 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Wake Forest University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Desantis Family PracticeGroup PAC ID 8921283854, 4 clinicians
Michael Christopher Desantis MDGroup PAC ID 4688575533, 3 clinicians

Practice addresses (Care Compare)

10 3Rd Ave NE
Suite 500
Hickory, NC 28601-5055
Phone (828) 304-6363

1265 21St St NE
Hickory, NC 28601-2971
Phone (828) 328-2006

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Catawba Valley Medical Group Inc PastSince Jul 6, 2026 Accepting new patients
Patrick J. Morgante, MD Past Accepting new patients
Catawba Valley Emergency Physicians PA Past Accepting new patients
John Keith Earl Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: joel-kunze@desantisfp.e-mdsdirect.com

Organizations & group practices 6

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.

Hospital & facility affiliations 3

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": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470355200000",
    "number": "1265418586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 3RD AVE NE",
            "address_2": "SUITE 500",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286015044",
            "telephone_number": "828-304-6363",
            "fax_number": "828-304-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 3RD AVE NE",
            "address_2": "SUITE 500",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286015044",
            "telephone_number": "828-304-6363",
            "fax_number": "828-304-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNZE",
        "first_name": "JOEL",
        "middle_name": "C.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-19",
        "last_updated": "2016-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "102190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

Verify at the official NPI Registry.