Individual provider Active NPI

Jonathan D Kunis, M.D.

  • Addiction Medicine (Internal Medicine) Physician
  • Louisville, KY
National Provider Identifier
1831388073
Registry record updated Apr 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X
License
TP426 Issued in KY
Practice address
10101 Linn Station Rd Ste 600
Louisville, KY 40223-3818
Phone
(502) 586-8900
Fax
(502) 287-0062
NPI assigned
Oct 23, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Internal Medicine) Physician 207RA0401X ME53220 FL
Addiction Medicine (Internal Medicine) Physician 207RA0401X TP426 KY Primary

Addresses

Primary practice location

10101 Linn Station Rd Ste 600
Louisville, KY 40223-3818

Mailing address

10101 Linn Station Rd Ste 600
Louisville, KY 40223-3818
Phone (502) 589-8600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524441600000",
    "number": "1831388073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10101 LINN STATION RD STE 600",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402233818",
            "telephone_number": "502-589-8600",
            "fax_number": "502-287-0062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10101 LINN STATION RD STE 600",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402233818",
            "telephone_number": "502-586-8900",
            "fax_number": "502-287-0062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNIS",
        "first_name": "JONATHAN",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-23",
        "last_updated": "2018-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "FL",
            "license": "ME53220",
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "KY",
            "license": "TP426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.