Active NPI
Frederick A Bunge, M.D.
- Otolaryngology Physician
- Oak Ridge, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 49517
- Practice address
- 800 Oak Ridge Tpke
Suite C 100
Oak Ridge, TN 37830-6957 - Phone
- (865) 483-2288
- Fax
- (865) 482-4400
- NPI assigned
- Sep 15, 2005
- Last updated
- Sep 29, 2026
- 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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 49517 | TN | Primary |
| Otolaryngology Physician | 207Y00000X | 45832 | KY |
Addresses
Primary practice location
800 Oak Ridge Tpke
Suite C 100
Oak Ridge, TN 37830-6957
Mailing address
800 Oak Ridge Tpke
Suite C 100
Oak Ridge, TN 37830-6957
Phone (865) 483-2288
Other identifiers 16
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000284025 | Other | OH | UNISON AGED BLIND & DISABLED |
| 7100236970 | Medicaid | KY | |
| 1532553 | Medicaid | TN | |
| P00752932 | Other | RRM | |
| 000000392339 | Other | MI | ANTHEM |
| 23604 | Other | HPM | |
| P00335204 | Other | RRMC | |
| 4876691 | Medicaid | MI | |
| 0891790 | Medicaid | OH | |
| 143906 | Other | PRIORITY HEALTH | |
| 157558 | Other | GLHP | |
| 01370 | Other | OH | PARAMOUNT |
| 000000604434 | Other | ANTHEM | |
| 1704610842 | Other | MI | BCBS MI |
| P00979695 | Other | OH | RRMC |
| 4243846 | Other | MI | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, TN, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- University of Toledo College of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2213 Cherry St
Toledo, OH 43608-2603
Phone (419) 251-8019
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49517 | TN | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health Physicians North Specialty Care LLC | Current | Accepting new patients | |
| Mercy Health Physicians North Specialty Care LLC | Current | Accepting new patients | |
| East Tennessee Ear, Nose & Throat Specialists, PC | Otolaryngology | Current | Accepting new patients |
| Beacon Sleep Services PLLC | Past | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
2213 Cherry St
Toledo, OH 43608
Phone (419) 251-4283
3404 W Sylvania Ave
Toledo, OH 43623
Phone (419) 407-1422
3900 Sunforest Ct
Ste 240
Toledo, OH 43623
Phone (419) 472-3126
800 Oak Ridge Tpke
Ste C100
Oak Ridge, TN 37830
Phone (865) 483-2288
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EHDGCD
Organizations & group practices 5
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.
-
- Surgery Physician
- Toledo, OH
- NPI 1306468418
-
- Otolaryngology Physician
- Oak Ridge, TN
- NPI 1467552216
-
- Customized Equipment (DME)
- Toledo, OH
- NPI 1235891672
-
- Sleep Medicine (Psychiatry & Neurology) Physician
- Johnson City, TN
- NPI 1164806352
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mercy Health St Vincent Medical Center
- General Acute Care Hospital
- Toledo, OH
- NPI 1467493551
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790640000000",
"number": "1760477723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 OAK RIDGE TPKE",
"address_2": "SUITE C 100",
"city": "OAK RIDGE",
"state": "TN",
"postal_code": "378306957",
"telephone_number": "865-483-2288",
"fax_number": "865-482-4400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 OAK RIDGE TPKE",
"address_2": "SUITE C 100",
"city": "OAK RIDGE",
"state": "TN",
"postal_code": "378306957",
"telephone_number": "865-483-2288",
"fax_number": "865-482-4400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUNGE",
"first_name": "FREDERICK",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-15",
"last_updated": "2026-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "TN",
"license": "49517",
"primary": true
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "KY",
"license": "45832",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNISON AGED BLIND & DISABLED",
"identifier": "000000284025",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100236970",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1532553",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRM",
"identifier": "P00752932",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000392339",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HPM",
"identifier": "23604",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRMC",
"identifier": "P00335204",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4876691",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0891790",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIORITY HEALTH",
"identifier": "143906",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GLHP",
"identifier": "157558",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PARAMOUNT",
"identifier": "01370",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000604434",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MI",
"identifier": "1704610842",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRMC",
"identifier": "P00979695",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4243846",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oak Ridge, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; 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.