Individual provider Active NPI

Andrea Leigh Bock-Kunz, M.D.

  • Ophthalmology Physician
  • Atchison, KS
National Provider Identifier
1629075239
Registry record updated May 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
04-28552 Issued in KS
Practice address
605 Commercial St
Atchison, KS 66002-2404
Phone
(913) 367-4451
Fax
(913) 367-7640
NPI assigned
Jun 29, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 04-28552 KS Primary

Addresses

Primary practice location

605 Commercial St
Atchison, KS 66002-2404

Mailing address

605 Commercial St
Atchison, KS 66002-2404
Phone (913) 367-4451

Other identifiers 1

IdentifierTypeStateIssuer
2087299901MedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20240430003875 MO Practitioner - Ophthalmology 2769566017 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-28552KSMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Health Physicians CurrentSince May 13, 2024 Accepting new patients

Locations

4407 E 50th Ter
Kansas City, MO 64130
Phone (816) 924-1201

2101 Charlotte St
Ste 250
Kansas City, MO 64108
Phone (816) 404-2222

7900 Lees Summit Rd
Kansas City, MO 64139
Phone (816) 373-4485

2211 Charlotte St
#2
Kansas City, MO 64108

Organizations & group practices 1

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 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Ohio State University College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Health Physicians 344 clinicians

Practice addresses (Care Compare)

2211 Charlotte St
Kansas City, MO 64108-2733
Phone (816) 404-1000

Hospital & facility affiliations

  • Truman Medical Center Hospital Hill Hospital, Kansas City, MO, CCN 260048

Merit-based Incentive Payment System (MIPS)

Final score
86.53 of 100Reported as group
Quality
59.66
Promoting interoperability
100
Improvement activities
40
Cost
74.66

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery11

NPI Registry JSON

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

{
    "created_epoch": "1120003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304294400000",
    "number": "1629075239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 COMMERCIAL ST",
            "city": "ATCHISON",
            "state": "KS",
            "postal_code": "660022404",
            "telephone_number": "913-367-4451",
            "fax_number": "913-367-7640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 COMMERCIAL ST",
            "city": "ATCHISON",
            "state": "KS",
            "postal_code": "660022404",
            "telephone_number": "913-367-4451",
            "fax_number": "913-367-7640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOCK-KUNZ",
        "first_name": "ANDREA",
        "middle_name": "LEIGH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-29",
        "last_updated": "2011-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KS",
            "license": "04-28552",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2087299901",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atchison, KS

Sources for this page

Verify at the official NPI Registry.