Active NPI
John Mitchell Kunzeman, MD
- Ophthalmology Physician
- Kansas City, MO
National Provider Identifier
1295430916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 2023019679
- Practice address
- 2301 Holmes St
Kansas City, MO 64108-2640 - Phone
- (816) 404-4175
- NPI assigned
- Apr 3, 2023
- Last updated
- Dec 10, 2025
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2023019679 | MO | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Ophthalmology Physician | 207W00000X | 2023019679 | MO | Primary |
Addresses
Primary practice location
2301 Holmes St
Kansas City, MO 64108-2640
Mailing address
3204 Lakemere Dr
Springfield, IL 62711-9310
Phone (217) 725-1088
Other practice location 1
300 W 19th Ter
Kansas City, MO 64108-2026
Phone (816) 404-5709
Other practice location 2
1000 E 24th St
Kansas City, MO 64108-2776
Phone (816) 512-7439
Other practice location 3
4401 Wornall Rd
Kansas City, MO 64111-3241
Phone (816) 932-2107
Other practice location 4
7900 Lees Summit Rd
Kansas City, MO 64139-1236
Phone (816) 404-4862
Other names 1
- Mitch Kunzeman
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230614002976 | MO | Order and Referring Only - Ophthalmology | 9537527106 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2023019679 | MO | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765324800000",
"number": "1295430916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3204 LAKEMERE DR",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627119310",
"telephone_number": "217-725-1088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 HOLMES ST",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641082640",
"telephone_number": "816-404-4175"
}
],
"practiceLocations": [
{
"address_1": "300 W 19th Ter",
"address_purpose": "LOCATION",
"city": "Kansas City",
"state": "MO",
"postal_code": "641082026",
"country_code": "US",
"telephone_number": "816-404-5709",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1000 E 24th St",
"address_purpose": "LOCATION",
"city": "Kansas City",
"state": "MO",
"postal_code": "641082776",
"country_code": "US",
"telephone_number": "816-512-7439",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4401 Wornall Rd",
"address_purpose": "LOCATION",
"city": "Kansas City",
"state": "MO",
"postal_code": "641113241",
"country_code": "US",
"telephone_number": "816-932-2107",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7900 Lees Summit Rd",
"address_purpose": "LOCATION",
"city": "Kansas City",
"state": "MO",
"postal_code": "641391236",
"country_code": "US",
"telephone_number": "816-404-4862",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KUNZEMAN",
"first_name": "JOHN",
"middle_name": "MITCHELL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-04-03",
"last_updated": "2025-12-10",
"certification_date": "2025-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MO",
"license": "2023019679",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MO",
"license": "2023019679",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MITCH",
"last_name": "KUNZEMAN",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.