Individual provider Active NPI

Chris Kunis, M.D.

  • Sports Medicine (Internal Medicine) Physician
  • Ocala, FL
National Provider Identifier
1760429989
Registry record updated Jan 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0010X
License
FLME0085972 Issued in FL
Practice address
2102 SW 20TH PL BLDG 100
Ocala, FL 34471-0856
Phone
(352) 867-5800
Fax
(352) 867-5809
NPI assigned
May 31, 2006
Last updated
Jan 10, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Internal Medicine) Physician 207RS0010X FLME0085972 FL Primary

Addresses

Primary practice location

2102 SW 20TH PL BLDG 100
Ocala, FL 34471-0856

Mailing address

2102 SW 20TH PL BLDG 100
Ocala, FL 34471-0856
Phone (352) 867-5800

Other identifiers 1

IdentifierTypeStateIssuer
57653OtherFLBCBS NON PAR NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20040612000335 FL Practitioner - Internal Medicine 9335122969 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
FLME0085972FLMDSports Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dwic of Tampa Bay, Inc. CurrentSince Nov 11, 2013 Accepting new patients
Medexpress Urgent Care of Boynton Beach, LLC CurrentSince Mar 31, 2018 Accepting new patients
Medexpress Urgent Care of Boynton Beach, LLC CurrentSince Mar 31, 2018 Accepting new patients
Dwic of Tampa Bay, Inc. Current Accepting new patients
Dwic of Tampa Bay, Inc. CurrentSince Nov 11, 2013 Accepting new patients
Gulf Coast Orthopedic Center Past Accepting new patients
Dwic of Tampa Bay, Inc Past Accepting new patients
Gcoc Physical Therapy Past Accepting new patients

Locations

7593 Boynton Beach Blvd
Ste 190
Boynton Beach, FL 33437
Phone (561) 572-3200

8849 State Road 52
Hudson, FL 34667
Phone (727) 863-7150

1120 Homestead Rd N
Lehigh Acres, FL 33936
Phone (239) 303-5020

2810 W Mlk Blvd
Tampa, FL 33607
Phone (813) 289-6637

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294617600000",
    "number": "1760429989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2102 SW 20TH PL BLDG 100",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344710856",
            "telephone_number": "352-867-5800",
            "fax_number": "352-867-5809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2102 SW 20TH PL BLDG 100",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344710856",
            "telephone_number": "352-867-5800",
            "fax_number": "352-867-5809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNIS",
        "first_name": "CHRIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2011-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RS0010X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sports Medicine",
            "state": "FL",
            "license": "FLME0085972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NON PAR NUMBER",
            "identifier": "57653",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.