Thomas W Kunkel, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

36002367K Issued in OH

Practice address

1099 East Liberty Street
Girard, OH 44420-2407

Phone

(330) 759-4724

Fax

(330) 759-5168

NPI assigned

Oct 17, 2006

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

Other identifiers 2

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Thomas W Kunkel DPM Inc

  • Podiatrist
  • Girard, OH
  • NPI 1154536878

  OH, Podiatrist

  Medicare reassignment NPD Authorized official
• Vital Path Care PC

  • Podiatrist
  • Hoover, AL
  • NPI 1619788858

  OH, Podiatrist

  Medicare reassignment NPD

Specialty

Podiatry

Education

Kent State University College of Podiatric Medicine, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207699200000",
    "number": "1508946062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1099 EAST LIBERTY STREET",
            "city": "GIRARD",
            "state": "OH",
            "postal_code": "444202407",
            "telephone_number": "330-759-4724",
            "fax_number": "330-759-5168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1099 EAST LIBERTY STREET",
            "city": "GIRARD",
            "state": "OH",
            "postal_code": "444202407",
            "telephone_number": "330-759-4724",
            "fax_number": "330-759-5168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNKEL",
        "first_name": "THOMAS",
        "middle_name": "W",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2008-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36002367K",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000135300",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0656928",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Josie Lee Johnson
• Trisha Kettler
• Jalen Klinger
• Mark Krieg, COTA/L
• Kimberly Marie Kuneli, LPCC
• William Thomas Kunkel Jr., DDS
• Justin Lars Larson, CDCA, CPRS
• Legacy Foot and Ankle LLC
• Liberty Assem Dbaheavenly Helpers
• Lifeline Partners, Inc

• All providers in Girard, OH
• Podiatrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.