Travis E. Kunicki, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

1401 St Joseph Pkwy
Houston, TX 77002-8301

Phone

(713) 757-7575

NPI assigned

Oct 31, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• St Joseph Emergency Physicians PLLC

  • Emergency Medicine Physician
  • Houston, TX
  • NPI 1326324047
  Medicare reassignment
• Travis County Emergency Physicians PA

  • Emergency Medicine Physician
  • Austin, TX
  • NPI 1962440933
  Medicare reassignment
• St Joseph Emergency Physicians PLLC

  • Emergency Medicine Physician
  • Houston, TX
  • NPI 1437407467
  NPD

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

{
    "created_epoch": "1351641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351641600000",
    "number": "1760736664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 270321",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784270321",
            "telephone_number": "832-574-4950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 ST JOSEPH PKWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770028301",
            "telephone_number": "713-757-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNICKI",
        "first_name": "TRAVIS",
        "middle_name": "E.",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-31",
        "last_updated": "2012-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theresa Marie Kundrot, M.A. CCC-SLP
• Uma Rani Kundu, M.D.
• Christopher Kung, MD
• Doris Hichi Kung, D.O.
• Michelle Li-Jern Kung, PA-C
• Illan Levi Kunik, MD
• Mark Edwin Kunik, M.D., M.P.H.
• Joy H Kunishige, M.D.
• Keiko Kunitoki, MD, MPH
• Broonin Kunjumon

• Physician Assistant in Houston, TX
• Providers in Houston, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.