Individual provider Active NPI

Mandi Zaltas Kunen, M.D.

  • Ophthalmology Physician
  • Concord, MA
National Provider Identifier
1902889207
Registry record updated Apr 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
77952 Issued in MA
Practice address
131 Ornac
Concord, MA 01742-4185
Phone
(978) 369-6464
NPI assigned
Nov 21, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 77952 MA Primary

Addresses

Primary practice location

131 Ornac
Concord, MA 01742-4185

Mailing address

42 York Rd
Wayland, MA 01778-1013
Phone (508) 358-1644

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20050609000045 MA Practitioner - Ophthalmology 3971546011 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Harvard Medical School, 1988
Medicare assignment
May accept Medicare assignment
Group practices
Lexington Eye Associates, IncGroup PAC ID 5698748986, 33 clinicians
Lexington Eye Associates - BidGroup PAC ID 8820315682, 33 clinicians

Practice addresses (Care Compare)

21 Worthen Rd
Lexington, MA 02421-4835
Phone (781) 862-1620

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery138

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
77952MAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lexington Eye Associates, Inc Ophthalmology CurrentSince Jun 9, 1993 Accepting new patients
Lexington Eye Associates - Bid Ophthalmology CurrentSince Jan 14, 2015 Accepting new patients
Emerson Hospital Current Accepting new patients
Lexington Eye Associates, Inc. Ophthalmology CurrentSince Jun 9, 1993 Accepting new patients

Locations

300 Baker Ave
Ste 210
Concord, MA 01742
Phone (978) 369-1310

21 Worthen Rd
Lexington, MA 02421
Phone (617) 862-1620

534 Boston Post Rd
Sudbury, MA 01776
Phone (781) 876-2020

160 Littleton Rd
Ste 9
Westford, MA 01886
Phone (781) 876-2020

Interoperability endpoints

  • Direct secure messaging: kunen.mandi.epho@direct.partners.masshiway.net
  • Direct secure messaging: mkunen457207@direct.bilh.masshiway.net

Organizations & group practices 4

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": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333584000000",
    "number": "1902889207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 YORK RD",
            "city": "WAYLAND",
            "state": "MA",
            "postal_code": "017781013",
            "telephone_number": "508-358-1644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 ORNAC",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017424185",
            "telephone_number": "978-369-6464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNEN",
        "first_name": "MANDI",
        "middle_name": "ZALTAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-21",
        "last_updated": "2012-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "77952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, MA

Sources for this page

Verify at the official NPI Registry.