Ivandito Kuntjoro, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

57012187 Issued in OH

Practice address

9000 Almeda Road
1102
Houston, TX 77054

Phone

(713) 492-7218

NPI assigned

Apr 30, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1209513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260230400000",
    "number": "1487820429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 ALMEDA RD",
            "address_2": "1102",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770544300",
            "telephone_number": "713-492-7218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 ALMEDA ROAD",
            "address_2": "1102",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77054",
            "telephone_number": "713-492-7218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNTJORO",
        "first_name": "IVANDITO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-30",
        "last_updated": "2009-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "57012187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Illan Levi Kunik, MD
• Mark Edwin Kunik, M.D., M.P.H.
• Joy H Kunishige, M.D.
• Keiko Kunitoki, MD, MPH
• Broonin Kunjumon
• Alyson Kuntz-Butler, CPM, LM
• Ilianna Reyna Kuntz, PNP
• Jasmina J Kunverjibhai Patel, PHARMD
• Jeffrey Kunze, CNIM
• Ching Yi Kuo, LPC

• Internal Medicine Physician in Houston, TX
• Providers in Houston, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.