Individual provider Active NPI

Kyle Clifford Cuneo, MD

  • Radiation Oncology Physician
  • Alpena, MI
National Provider Identifier
1740464627
Registry record updated Jun 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
4301100272 Issued in MI
Practice address
1501 West Chisholm St
Alpena, MI 49707-1401
Phone
(888) 356-7151
NPI assigned
Dec 27, 2007
Last updated
Jun 21, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 4301100272 MI Primary
Therapeutic Radiology Physician 2085R0203X RESIDENT, NO LICENSE TN

Addresses

Primary practice location

1501 West Chisholm St
Alpena, MI 49707-1401

Mailing address

3621 South State Street
700 KMS Place
Ann Arbor, MI 48108
Phone (734) 936-2047

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20121010000379 MI Practitioner - Radiation Oncology 3577712389 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Vanderbilt University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Johnson Family Center for Cancer CareGroup PAC ID 3678551637, 10 clinicians

Practice addresses (Care Compare)

1440 E Sherman Blvd
Muskegon, MI 49444-1816
Phone (231) 672-2008

1500 E Medical Ctr Dr
Ann Arbor, MI 48109-5000
Phone (734) 936-4300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301100272MIMDRadiation Oncology Physician
RESIDENT, NO LICENSETNMDTherapeutic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advantage Health Saint Mary's Medical Group CurrentSince Apr 1, 2022 Accepting new patients
Edward W. Sparrow Hospital Association Radiation Oncology CurrentSince Jun 28, 2024 Accepting new patients
Edward W Sparrow Hospital Association CurrentSince Jun 28, 2024 Accepting new patients
Northeastern Michigan Cancer Center Radiation Oncology CurrentSince Apr 11, 2018 Accepting new patients
Advantage Health/Saint Mary's Medical Group Current Accepting new patients
Johnson Family Center for Cancer Care CurrentSince Mar 2, 2025 Accepting new patients
Edward W. Sparrow Hospital Association Current Accepting new patients
Regents of the University of Michigan Radiation Oncology CurrentSince Aug 1, 2012 Accepting new patients
Advantage Health Saint Mary's Medical Group CurrentSince Apr 1, 2022 Accepting new patients
Regents of the University of Michigan Past Accepting new patients
Edward W. Sparrow Hospital Association Past Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

1501 W Chisholm St
Alpena, MI 49707
Phone (989) 356-7000

1500 E Medical Center Dr
Ann Arbor, MI 48109
Phone (734) 936-4280

3621 S State St
#700
Ann Arbor, MI 48108

10047 Crossroad Ct SE
Caledonia, MI 49316
Phone (616) 685-8850

250 Cherry St SE
Grand Rapids, MI 49503
Phone (616) 685-5600

1102 E Michigan Ave
Jackson, MI 49201
Phone (517) 205-7299

1140 E Michigan Ave
Ste 100
Lansing, MI 48912
Phone (517) 364-9402

1140 E Michigan Ave
Ste 200
Lansing, MI 48912
Phone (517) 364-9400

401 W Greenlawn Ave
Lansing, MI 48910
Phone (517) 334-2286

401 W Greenlawn Ave
Ste 10
Lansing, MI 48910
Phone (517) 367-5070

1440 E Sherman Blvd
Muskegon, MI 49444
Phone (231) 672-2008

5950 Metro Way SW
Wyoming, MI 49519
Phone (616) 252-8100

Interoperability endpoints

  • Direct secure messaging: kcuneo1755466@direct.trinity-health.org

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340236800000",
    "number": "1740464627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3621 SOUTH STATE STREET",
            "address_2": "700 KMS PLACE",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48108",
            "telephone_number": "734-936-2047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 WEST CHISHOLM ST",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497071401",
            "telephone_number": "888-356-7151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNEO",
        "first_name": "KYLE",
        "middle_name": "CLIFFORD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-27",
        "last_updated": "2012-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "MI",
            "license": "4301100272",
            "primary": true
        },
        {
            "code": "2085R0203X",
            "taxonomy_group": "",
            "desc": "Radiology, Therapeutic Radiology",
            "state": "TN",
            "license": "RESIDENT, NO LICENSE",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpena, MI

Sources for this page

Verify at the official NPI Registry.