Active NPI
Scott A Kunkel, D.O.
- Emergency Medicine Physician
- Sheboygan, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 66197
- Practice address
- 2629 N 7TH St
Sheboygan, WI 53083-4932 - Phone
- (920) 451-5000
- NPI assigned
- Jun 30, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 66197 | WI | Primary |
| Emergency Medicine Physician | 207P00000X | 19505 | CA |
Addresses
Primary practice location
2629 N 7TH St
Sheboygan, WI 53083-4932
Mailing address
2629 N 7TH St
Sheboygan, WI 53083-4932
Phone (920) 451-5000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609187004 | Medicaid | WI |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | skunkel187471@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
250 Prospect PL
Coronado, CA 92118-1943
Phone (858) 759-4765
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19505 | CA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America - California | Emergency Medicine | Current | Accepting new patients |
| Cep America-California | Emergency Medicine | Current | Accepting new patients |
| Palomar Emergency Physicians, Inc | Emergency Medicine | Current | Accepting new patients |
| Cep America - California | Emergency Medicine | Current | Accepting new patients |
| Cep America - California | Emergency Medicine | Current | Accepting new patients |
| Cep America - California | Emergency Medicine | Current | Accepting new patients |
| Emergency Services Medical Corporation Coronado | Emergency Medicine | Current | Accepting new patients |
| The Medical College of Wisconsin, Inc. | Emergency Medicine | Current | Accepting new patients |
Locations
207 W Legion Rd
Brawley, CA 92227
Phone (760) 351-3333
751 Medical Center Ct
#1182
Chula Vista, CA 91911
2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000
2185 Citracado Pkwy
Escondido, CA 92029
Phone (442) 281-5000
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
15615 Pomerado Rd
Poway, CA 92064
Phone (858) 613-4000
250 Prospect Pl
San Diego, CA 92118
Phone (619) 522-3600
15031 Rinaldi St
San Fernando, CA 91345
Phone (818) 365-8051
869 N Cherry St
Tulare, CA 93274
Phone (559) 326-2800
1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056
8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100
Organizations & group practices 8
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.
-
- Emergency Medicine Physician
- Coronado, CA
- NPI 1598395675
-
- Emergency Medicine Physician
- Escondido, CA
- NPI 1124698139
-
- Internal Medicine Physician
- Milwaukee, WI
- NPI 1699720086
Emergency Medicine
-
- Emergency Medicine Physician
- Long Beach, CA
- NPI 1144849530
-
- Emergency Medicine Physician
- Murrieta, CA
- NPI 1588552848
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Sharp Coronado Hospital
- General Acute Care Hospital
- Coronado, CA
- NPI 1154304475
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651536000000",
"number": "1609187004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2629 N 7TH ST",
"city": "SHEBOYGAN",
"state": "WI",
"postal_code": "530834932",
"telephone_number": "920-451-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2629 N 7TH ST",
"city": "SHEBOYGAN",
"state": "WI",
"postal_code": "530834932",
"telephone_number": "920-451-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUNKEL",
"first_name": "SCOTT",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-30",
"last_updated": "2022-05-03",
"certification_date": "2022-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WI",
"license": "66197",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "19505",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1609187004",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "skunkel187471@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2629 N 7th St",
"city": "Sheboygan",
"state": "WI",
"country_code": "US",
"postal_code": "530834932",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "2629 N 7th St",
"city": "Sheboygan",
"state": "WI",
"country_code": "US",
"postal_code": "530834932",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Sheboygan, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; 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.