Individual provider Active NPI

Kazunari Kuno, M.D.

  • Obstetrics & Gynecology Physician
  • Colorado Springs, CO
National Provider Identifier
1790721199
Registry record updated Apr 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
DR.0062114 Issued in CO
Practice address
225 S Union Blvd
Colorado Springs, CO 80910
Phone
(719) 632-5700
Fax
(719) 344-7831
NPI assigned
Jun 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 199243 NY
Obstetrics & Gynecology Physician 207V00000X DR.0062114 CO Primary

Addresses

Primary practice location

225 S Union Blvd
Colorado Springs, CO 80910

Mailing address

3205 N Academy Blvd Ste 130
Colorado Springs, CO 80917-5152
Phone (719) 632-5700

Other practice location 1

97 Amity St
OBGYN Associates at LICH
Brooklyn, NY 11201-6004
Phone (718) 780-1372

Other practice location 2

97 Amity St
OBGYN Associates at LICH
Brooklyn, NY 11201-6004
Phone (718) 780-1372

Other identifiers 1

IdentifierTypeStateIssuer
01799802MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20190514001064 CO Practitioner - Obstetrics/Gynecology 9335296581 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
JS Weill Medical College, Cornell University, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peak Vista Community Health CentersGroup PAC ID 4688583974, 126 clinicians

Practice addresses (Care Compare)

1400 E Boulder
Colorado Springs, CO 80909-5533
Phone (719) 776-5000

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Vista Community Health Centers CurrentSince Jun 1, 2019 Accepting new patients
Peak Vista Community Health Centers CurrentSince Jun 1, 2019 Accepting new patients
Uch-MHS Past Accepting new patients
Peak Vista Community Health Centers Past Accepting new patients
OB GYN Associates at Long Island College Hospital Obstetrics & Gynecology Past Accepting new patients

Locations

1400 E Boulder St
Colorado Springs, CO 80909
Phone (719) 365-5120

225 S Union Blvd
Colorado Springs, CO 80910
Phone (719) 344-6304

3205 N Academy Blvd
Ste 130
Colorado Springs, CO 80917
Phone (719) 344-6873

Interoperability endpoints

  • Direct secure messaging: kazunarikuno@nslijmedgr.allscriptsdirect.net
  • Direct secure messaging: kazunari.kuno.p1@direct.peakvista.nextgenshare.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554854400000",
    "number": "1790721199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3205 N ACADEMY BLVD STE 130",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809175152",
            "telephone_number": "719-632-5700",
            "fax_number": "719-344-7865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 S UNION BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80910",
            "telephone_number": "719-632-5700",
            "fax_number": "719-344-7831"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "97 Amity St",
            "address_2": "OBGYN Associates at LICH",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112016004",
            "country_code": "US",
            "telephone_number": "718-780-1372",
            "fax_number": "718-780-4924",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "97 Amity St",
            "address_2": "OBGYN Associates at LICH",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112016004",
            "country_code": "US",
            "telephone_number": "718-780-1372",
            "fax_number": "718-780-4924",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUNO",
        "first_name": "KAZUNARI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2019-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "199243",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CO",
            "license": "DR.0062114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01799802",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.