Individual provider Active NPI

Robert L Kunkel Jr., MD

  • Family Medicine Physician
  • Cincinnati, OH
National Provider Identifier
1366481095
Registry record updated Nov 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35056668 Issued in OH
Practice address
4411 Montgomery Rd
Suite 200
Cincinnati, OH 45212-3187
Phone
(513) 977-6700
Fax
(513) 531-2624
NPI assigned
Jun 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35056668 OH Primary

Addresses

Primary practice location

4411 Montgomery Rd
Suite 200
Cincinnati, OH 45212-3187

Mailing address

4411 Montgomery Rd
Suite 200
Cincinnati, OH 45212-3187
Phone (513) 977-6700

Other identifiers 1

IdentifierTypeStateIssuer
0112149MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20040130000002 OH Practitioner - Family Practice 5698678324 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35056668OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trihealth G LLC Family Medicine CurrentSince Jan 1, 2016 Accepting new patients
Trihealth G, LLC CurrentSince Jan 1, 2016 Accepting new patients
Bethesda Family Practice Center Family Medicine CurrentSince Oct 1, 1998 Accepting new patients
Trihealth H LLC CurrentSince Nov 1, 2021 Accepting new patients
Edelstein Physical Therapy, LLC PastSince Sep 1, 2015 Accepting new patients
Mercy Health Physicians Cincinnati LLC Past Accepting new patients

Locations

9070 Winton Rd
Cincinnati, OH 45231
Phone (513) 246-2750

375 Dixmyth Ave
Ste 3135
Cincinnati, OH 45220
Phone (513) 862-3452

425 Farrell Ct
Cincinnati, OH 45233
Phone (513) 451-6871

2001 Anderson Ferry Rd
Cincinnati, OH 45238
Phone (513) 922-1200

1775 W Lexington
Ste 100
Cincinnati, OH 45212
Phone (513) 531-6720

4411 Montgomery Rd
Ste 200
Cincinnati, OH 45212
Phone (513) 531-6720

5861 Cinema Dr
Milford, OH 45150
Phone (513) 248-8800

4685 Forest Ave
Ste C
Norwood, OH 45212
Phone (513) 246-7796

Interoperability endpoints

  • Direct secure messaging: rkunkel3431@direct.trihealth.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321401600000",
    "number": "1366481095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4411 MONTGOMERY RD",
            "address_2": "SUITE 200",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452123187",
            "telephone_number": "513-977-6700",
            "fax_number": "513-531-2624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4411 MONTGOMERY RD",
            "address_2": "SUITE 200",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452123187",
            "telephone_number": "513-977-6700",
            "fax_number": "513-531-2624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNKEL",
        "first_name": "ROBERT",
        "middle_name": "L",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2011-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35056668",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0112149",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.