Active NPI
Mandi Zaltas Kunen, M.D.
- Ophthalmology Physician
- Concord, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 77952
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Harvard Medical School, 1988
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
21 Worthen Rd
Lexington, MA 02421-4835
Phone (781) 862-1620
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 138 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 77952 | MA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lexington Eye Associates, Inc | Ophthalmology | Current | Accepting new patients |
| Lexington Eye Associates - Bid | Ophthalmology | Current | Accepting new patients |
| Emerson Hospital | Current | Accepting new patients | |
| Lexington Eye Associates, Inc. | Ophthalmology | Current | 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
- kunen.mandi.epho@direct.partners.masshiway.net
- 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.
-
- Ophthalmology Physician
- Lexington, MA
- NPI 1801204714
-
- Ophthalmology Physician
- Lexington, MA
- NPI 1467502757
-
- General Acute Care Hospital
- Concord, MA
- NPI 1467587881
-
- Ophthalmology Physician
- Lexington, MA
- NPI 1194066001
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.