Active NPI
Benjamin Kunze, PA-C
- Physician Assistant
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA09378
- Practice address
- 13737 Noel Rd
Suite 1600
Dallas, TX 75240-1331 - Phone
- (214) 712-2000
- NPI assigned
- Oct 14, 2014
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA09378 | TX | Primary |
Addresses
Primary practice location
13737 Noel Rd
Suite 1600
Dallas, TX 75240-1331
Mailing address
351 N 5TH St
Apt 1361
Garland, TX 75040-6367
Phone (214) 712-2000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bkunze299350@direct.sw.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Philadelphia Col of Osteo Med, Sewanee, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
900 NE 10TH St
Ouhp Family Medicine
Oklahoma City, OK 73104-5420
Phone (572) 244-0065
Hospital & facility affiliations
- O U Medical Center
- Memorial Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4921 | OK | MD | General Practice Dentistry |
| PA09378 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ou Health Partners, Inc | Current | Accepting new patients | |
| Comanche County Healthcare Corporation | Current | Accepting new patients | |
| Williams Medical Group Practice, LLC | Current | Accepting new patients | |
| Williams Medical Group Practice, LLC | Current | Accepting new patients | |
| Comanche County Healthcare Corporation | Current | Accepting new patients | |
| Dallas Anesthesiology Associates, PA | Past | Accepting new patients | |
| Comanche County Hospital Authority | Past | Accepting new patients | |
| Texas Em-I Medical Services, P.a. | Past | Accepting new patients | |
| Jackson County Memorial Hospital Authority | Past | Accepting new patients | |
| Comanche County Healthcare | Past | Accepting new patients |
Locations
1675 12th Ave NW
Ardmore, OK 73401
Phone (580) 798-0234
220 S Van Buren St
Enid, OK 73703
Phone (580) 234-9355
3201 W Gore Blvd
Ste 300
Lawton, OK 73505
Phone (580) 248-5255
3201 W Gore Blvd
Ste 201
Lawton, OK 73505
Phone (580) 357-2261
3401 W Gore Blvd
Lawton, OK 73505
Phone (580) 483-5207
900 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-2230
700 NE 13th St
Oklahoma City, OK 73104
Phone (405) 271-3667
777 NW 63rd St
Fl 2
Oklahoma City, OK 73116
Organizations & group practices 13
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.
-
- Multi-Specialty Clinic/Center
- Oklahoma City, OK
- NPI 1528642642
-
- Family Medicine Physician
- Lawton, OK
- NPI 1346608809
-
- Public Health or Welfare Agency
- Lawton, OK
- NPI 1053352690
-
- Physical Medicine & Rehabilitation Physician
- Noblesville, IN
- NPI 1063037398
OK
-
- Allergy & Immunology Physician
- Lawton, OK
- NPI 1013640846
-
- Urology Physician
- Lawton, OK
- NPI 1154345619
-
- Prosthetic/Orthotic Supplier
- Oklahoma City, OK
- NPI 1447834460
-
- Rural Health Clinic/Center
- Collinsville, OK
- NPI 1215751508
-
- Anesthesiology Physician
- Dallas, TX
- NPI 1497700280
-
- Emergency Medicine Physician
- Garland, TX
- NPI 1669430617
-
- Surgery Physician
- Lawton, OK
- NPI 1285651232
-
- General Acute Care Hospital
- Lawton, OK
- NPI 1720022379
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lawton, OK
- NPI 1720022379
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1649794157
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649030400000",
"number": "1912301334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "351 N 5TH ST",
"address_2": "APT 1361",
"city": "GARLAND",
"state": "TX",
"postal_code": "750406367",
"telephone_number": "214-712-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13737 NOEL RD",
"address_2": "SUITE 1600",
"city": "DALLAS",
"state": "TX",
"postal_code": "752401331",
"telephone_number": "214-712-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUNZE",
"first_name": "BENJAMIN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-10-14",
"last_updated": "2022-04-04",
"certification_date": "2022-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA09378",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bkunze299350@direct.sw.org",
"affiliation": "N",
"address_1": "3600 Gaston Ave Ste 550",
"city": "Dallas",
"state": "TX",
"country_code": "US",
"postal_code": "752461905",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2022; 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.