Individual provider Active NPI

Kunil Bae, MD

  • Internal Medicine Physician
  • Flushing, NY
National Provider Identifier
1295765378
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
201190 Issued in NY
Practice address
15408 Northern Blvd Ste 2I
Flushing, NY 11354-5042
Phone
(718) 358-3151
Fax
(718) 358-4151
NPI assigned
Jul 4, 2006
Sex
Male
Sole proprietor
Yes

Organizations & group practices 3

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.

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
State University of New York Downstate Medical Center, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

154 -08 Northern Blvd
Suite 21
Flushing, NY 11354-5042

15408 Northern Blvd
Flushing, NY 11354-5040
Phone (718) 358-3151

15408 Northern Blvd
Suite 2I
Flushing, NY 11354-5042

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20040804001909 NY Practitioner - Internal Medicine 3971574641 Practice locations: Flushing, NY

National Provider Directory

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

Practice roles (3 of 7)

OrganizationSpecialtyStatusNew patients
Kunil Bae MD, P.C. Internal Medicine CurrentSince Jun 1, 2026 Accepting new patients
University Physicians Group P C Internal Medicine Past Accepting new patients
Ray C Miranda MD PLLC Internal Medicine Past Accepting new patients

Locations

15408 Northern Blvd
Ste 2I
Flushing, NY 11354
Phone (718) 358-3151

15408 Northern Blvd
Ste 21
Flushing, NY 11354

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 201190 NY Primary

Addresses

Primary practice location

15408 Northern Blvd Ste 2I
Flushing, NY 11354-5042

Mailing address

15408 Northern Blvd Ste 2I
Flushing, NY 11354-5042
Phone (718) 358-3151

Other identifiers 1

IdentifierTypeStateIssuer
01663258MedicaidNY

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1295765378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15408 NORTHERN BLVD STE 2I",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545042",
            "telephone_number": "718-358-3151",
            "fax_number": "718-358-4151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15408 NORTHERN BLVD STE 2I",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545042",
            "telephone_number": "718-358-3151",
            "fax_number": "718-358-4151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAE",
        "first_name": "KUNIL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "201190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01663258",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.