Individual provider Active NPI

Andrew Kunkel, DO

  • Internal Medicine Physician
  • Drexel Hill, PA
National Provider Identifier
1356761985
Registry record updated Dec 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OP60962822 Issued in WA
Practice address
501 N Lansdowne Ave
Drexel Hill, PA 19026-1114
Phone
(610) 284-8230
NPI assigned
Apr 22, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X DO2809 ME
Internal Medicine Physician 207R00000X OP60962822 WA Primary

Addresses

Primary practice location

501 N Lansdowne Ave
Drexel Hill, PA 19026-1114

Mailing address

501 N Lansdowne Ave
Drexel Hill, PA 19026-1114
Phone (610) 284-8230

Other practice location 1

123 Medical Center Dr
Brunswick, ME 04011-2652
Phone (207) 373-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, WA, WY, OH4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20180817002724 ME Practitioner - HospitalistPractitioner - Internal Medicine 1254680663 Reassigns benefits to 2 organizations
I20200213000844 WA Practitioner - Internal Medicine 1254680663 Reassigns benefits to 1 organization
I20250122000685 WY Practitioner - Internal Medicine 1254680663 Reassigns benefits to 1 organization
I20250603000940 OH Practitioner - Internal Medicine 1254680663 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Lake Erie College of Osteopathic Medicine, Bradenton, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sound Physicians of Wyoming LLCGroup PAC ID 8325214828, 41 clinicians

Practice addresses (Care Compare)

1233 E 2ND St
Casper, WY 82601-2926
Phone (800) 822-7201

Hospital & facility affiliations

  • Banner Wyoming Medical Center Hospital, Casper, WY, CCN 530012
  • Memorial Hospital of Converse County Hospital, Douglas, WY, CCN 531302
  • Sagewest Health Care Hospital, Riverton, WY, CCN 530008
  • Campbell County Health Hospital, Gillette, WY, CCN 530002

Merit-based Incentive Payment System (MIPS)

Final score
86.39 of 100Reported as group
Quality
70.14
Improvement activities
40
Cost
79.21

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
South Sound Inpatient Physicians PLLC Internal Medicine Current Accepting new patients
South Sound Inpatient Physicians, PLLC Internal Medicine CurrentSince Aug 1, 2021 Accepting new patients
Mainehealth CurrentSince Jan 3, 2025 Accepting new patients
Hospitalist Medicine Physicians of Ohio-Columbus II Professional Corp Internal Medicine CurrentSince Jun 11, 2025 Accepting new patients
Cogent Healthcare of Washington, PC Internal Medicine CurrentSince Aug 1, 2021 Accepting new patients
Mainehealth Internal Medicine CurrentSince Jan 3, 2025 Accepting new patients
Mainehealth Current Accepting new patients
South Sound Inpatient Physicians PLLC Internal Medicine CurrentSince Aug 1, 2021 Accepting new patients
Sound Physicians of Wyoming, LLC Internal Medicine CurrentSince Nov 17, 2024 Accepting new patients
Apogee Medical Group Maine PC Internal Medicine CurrentSince Jun 15, 2024 Accepting new patients

Locations

360 Broadway
Bangor, ME 04401
Phone (207) 262-1703

123 Medical Center Dr
Brunswick, ME 04011
Phone (207) 373-6800

93 Campus Ave
Lewiston, ME 04240
Phone (207) 755-3715

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

272 Hospital Rd
Chillicothe, OH 45601
Phone (740) 779-4275

181 Taylor Ave
Columbus, OH 43203
Phone (614) 257-2358

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

202 N Division St
Auburn, WA 98001
Phone (253) 333-2562

2520 Cherry Ave
Bremerton, WA 98310
Phone (360) 377-3911

16251 Sylvester Rd SW
Burien, WA 98166
Phone (206) 244-9970

407 14th Ave SE
Puyallup, WA 98372
Phone (253) 697-4000

2000 Hospital Dr
Sedro Woolley, WA 98284
Phone (360) 856-6021

1233 E 2nd St
Casper, WY 82601
Phone (307) 577-2171

Interoperability endpoints

  • Direct secure messaging: akunkel889636@direct.mmc.mainehealth.org

Organizations & group practices 10

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 5

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": "1398124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734048000000",
    "number": "1356761985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 N LANSDOWNE AVE",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190261114",
            "telephone_number": "610-284-8230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N LANSDOWNE AVE",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190261114",
            "telephone_number": "610-284-8230"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "123 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Brunswick",
            "state": "ME",
            "postal_code": "040112652",
            "country_code": "US",
            "telephone_number": "207-373-6000",
            "fax_number": "207-373-6080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUNKEL",
        "first_name": "ANDREW",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-22",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ME",
            "license": "DO2809",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "OP60962822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Drexel Hill, PA

Sources for this page

Verify at the official NPI Registry.