Individual provider Active NPI

Kenneth Bunch, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Austin, TX
National Provider Identifier
1871543405
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
M7072 Issued in TX
Practice address
4700 Seton Center Pkwy
Suite 200
Austin, TX 78759-5295
Phone
(512) 439-1000
Fax
(512) 439-1081
NPI assigned
May 12, 2006
Last updated
Feb 27, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X MD428492 PA
Physical Medicine & Rehabilitation Physician 208100000X M7072 TX Primary

Addresses

Primary practice location

4700 Seton Center Pkwy
Suite 200
Austin, TX 78759-5295

Mailing address

4700 Seton Center Pkwy
Suite 200
Austin, TX 78759-5295
Phone (512) 439-1000

Other practice location 1

10861 183A Toll Road
Bldg 1200, Ste 1200
Leander, TX 78641
Phone (512) 439-1000

Other identifiers 6

IdentifierTypeStateIssuer
2708299000OtherINDEPENDENCE BLUE CROSS/K
P00477942OtherTXMEDICARE RAILROAD
1851399OtherHIGHMARK BLUE SHIELD
191447502MedicaidTX
50059281OtherCAPITAL BLUE CROSS/KHPC
P00480719OtherTXMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071231000430 TX Practitioner - Physical Medicine and Rehabilitation 7810909744 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ortholonestar PLLCGroup PAC ID 9931529062, 416 clinicians

Practice addresses (Care Compare)

4700 Seton Ctr Pkwy
Suite 200
Austin, TX 78759-4107
Phone (512) 439-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.23 of 100Reported as individual
Quality
73.15
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M7072TXMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ortholonestar, PLLC CurrentSince Oct 1, 2020 Accepting new patients
Ortholonestar, PLLC CurrentSince Oct 1, 2020 Accepting new patients
Padma R. Kumashi MD PA PastSince May 1, 2007 Accepting new patients
Center at Parmer, LLC PastSince Sep 15, 2019 Accepting new patients

Locations

3755 S Capital of Texas Hwy
Ste 130
Austin, TX 78704
Phone (512) 439-1005

4700 Seton Center Pkwy
Ste 200
Austin, TX 78759
Phone (512) 439-1011

911 W 38th St
Ste 300
Austin, TX 78705
Phone (512) 439-1002

3800 Gaylord Pkwy
Ste 710
Frisco, TX 75034

10861 183A Toll Rd
Ste 1200
Leander, TX 78641
Phone (512) 439-1009

3816 N University Dr
Nacogdoches, TX 75965
Phone (936) 305-5301

Interoperability endpoints

  • Direct secure messaging: kenneth.bunch.1@15533.direct.athenahealth.com
  • Direct secure messaging: kenneth.bunch.1@17862.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
The Center at ParmerAustin, TX, CCN 676487 Skilled nursing facility Corporate Officer (3.98%) Sep 15, 2019

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1871543405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 SETON CENTER PKWY",
            "address_2": "SUITE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787595295",
            "telephone_number": "512-439-1000",
            "fax_number": "512-439-1081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 SETON CENTER PKWY",
            "address_2": "SUITE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787595295",
            "telephone_number": "512-439-1000",
            "fax_number": "512-439-1081"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10861 183A Toll Road",
            "address_2": "Bldg 1200, Ste 1200",
            "address_purpose": "LOCATION",
            "city": "Leander",
            "state": "TX",
            "postal_code": "78641",
            "country_code": "US",
            "telephone_number": "512-439-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUNCH",
        "first_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "MD428492",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "M7072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS/K",
            "identifier": "2708299000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00477942",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "1851399",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "191447502",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS/KHPC",
            "identifier": "50059281",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00480719",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.