Individual provider Active NPI

Benjamin Norris Kunen, MD

  • Diagnostic Radiology Physician
  • New Orleans, LA
National Provider Identifier
1295266328
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
334493 Issued in LA
Practice address
1415 Tulane Ave
New Orleans, LA 70112-2600
Phone
(504) 988-5263
Fax
(504) 988-3971
NPI assigned
Mar 21, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology Physician 2085R0202X 334493 LA Primary
Vascular & Interventional Radiology Physician 2085R0204X 036.160889 IL

Addresses

Primary practice location

1415 Tulane Ave
New Orleans, LA 70112-2600

Mailing address

1430 Tulane Ave Department of Radiology
New Orleans, LA 70112
Phone (504) 988-7627

Other practice location 1

1725 W Harrison St Ste 437
Chicago, IL 60612-3893
Phone (312) 563-4270

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20230719003966 LA Practitioner - Diagnostic Radiology 8224413075 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Tulane University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jefferson Radiology Associates, Inc.Group PAC ID 0143289363, 14 clinicians

Practice addresses (Care Compare)

1101 Medical Ctr Blvd
Marrero, LA 70072-3191
Phone (504) 349-1461

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
334493LAMDDiagnostic Radiology Physician
036.160889ILMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Jefferson MRI, LLC CurrentSince Aug 27, 2024 Accepting new patients
Administrators of the Tulane Education Fund CurrentSince Jul 1, 2023 Accepting new patients
Administrators of the Tulane Educational Fund Current Accepting new patients
Jefferson Radiology Associates, Inc Diagnostic Radiology CurrentSince Sep 3, 2024 Accepting new patients
West Jefferson MRI, LLC CurrentSince Aug 27, 2024 Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Jul 1, 2023 Accepting new patients
Affiliated Radiologists, SC PastSince Jul 1, 2022 Accepting new patients
Tulane University Medical Group Past Accepting new patients

Locations

95 Judge Tanner Blvd
Covington, LA 70433
Phone (504) 867-3800

1111 Medical Center Blvd
Ste N110
Marrero, LA 70072
Phone (504) 349-6191

1101 Medical Center Blvd
Marrero, LA 70072
Phone (504) 347-5511

4525 Westbank Expy
Ste B
Marrero, LA 70072
Phone (504) 349-6570

1111 Medical Center Blvd
Ste N108
Marrero, LA 70072
Phone (504) 349-1461

4700 S I 10 Svc Rd W
Metairie, LA 70001
Phone (504) 780-6453

4200 Houma Blvd
Metairie, LA 70006
Phone (504) 454-4028

2121 Ridgelake Dr
Metairie, LA 70001
Phone (504) 349-1461

1415 Tulane Ave
Fl 2
New Orleans, LA 70112
Phone (504) 988-1200

1430 Tulane Ave
New Orleans, LA 70112
Phone (504) 585-6485

5620 Read Blvd
New Orleans, LA 70127
Phone (504) 241-2664

1415 Tulane Ave
New Orleans, LA 70112
Phone (504) 588-2300

1430 Tulane Ave
#8654
New Orleans, LA 70112
Phone (504) 988-2651

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GCFJBA

Organizations & group practices 8

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 & 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": "1490054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1295266328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 TULANE AVE DEPARTMENT OF RADIOLOGY",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "70112",
            "telephone_number": "504-988-7627",
            "fax_number": "504-988-7616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 TULANE AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122600",
            "telephone_number": "504-988-5263",
            "fax_number": "504-988-3971"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1725 W Harrison St Ste 437",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606123893",
            "country_code": "US",
            "telephone_number": "312-563-4270",
            "fax_number": "312-942-7244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUNEN",
        "first_name": "BENJAMIN",
        "middle_name": "NORRIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-21",
        "last_updated": "2023-07-06",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "LA",
            "license": "334493",
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "IL",
            "license": "036.160889",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.