NPIMap

Individual provider Active NPI

Kaushik Kundu, M.D.

  • Internal Medicine Physician
  • Fountain Hill, PA
National Provider Identifier
1942259577
Registry record updated Oct 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD062852L Issued in PA
Practice address
1130 Delaware Ave
Fountain Hill, PA 18015-4117
Phone
(610) 868-2710
Fax
(610) 868-6130
NPI assigned
May 10, 2006
Last updated
Oct 7, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD062852L PA Primary

Addresses

Primary practice location

1130 Delaware Ave
Fountain Hill, PA 18015-4117

Mailing address

1130 Delaware Ave
Fountain Hill, PA 18015-4117
Phone (610) 868-2710

Other identifiers 2

IdentifierTypeStateIssuer
968020OtherBLUE SHIEL
01206002OtherPABLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050510000505 PA Practitioner - Internal Medicine 3375583206 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Practice addresses (Care Compare)

1130 Delaware Ave
Fountain Hill, PA 18015-4117
Phone (610) 868-2710

5 Cedar Park Blvd
Easton, PA 18042-7108
Phone (610) 730-6527

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke's Physician Group, Inc. Current Accepting new patients
St Luke's Physician Group Inc CurrentSince Sep 1, 2020 Accepting new patients
Cedar Park Internal Medicine LLC Internal Medicine CurrentSince Sep 1, 2020 Accepting new patients
St. Luke's Physician Group, Inc. Internal Medicine CurrentSince Sep 1, 2020 Accepting new patients
St. Luke's Physician Group, Inc. Past Accepting new patients
St Lukes Hospital Past Accepting new patients

Locations

4311 Easton Ave
Bethlehem, PA 18020
Phone (610) 954-3600

5325 Northgate Dr
Ste 201
Bethlehem, PA 18017
Phone (610) 625-4400

5 Cedar Park Blvd
Easton, PA 18042
Phone (610) 438-2662

1130 Delaware Ave
Fountain Hill, PA 18015
Phone (610) 868-2710

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

135 Lafayette Ave
Palmerton, PA 18071
Phone (610) 826-1103

Interoperability endpoints

  • Direct secure messaging: kaushik.kundu@slpg.direct-sluhn.org

Organizations & group practices 6

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 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1942259577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 DELAWARE AVE",
            "city": "FOUNTAIN HILL",
            "state": "PA",
            "postal_code": "180154117",
            "telephone_number": "610-868-2710",
            "fax_number": "610-868-6130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 DELAWARE AVE",
            "city": "FOUNTAIN HILL",
            "state": "PA",
            "postal_code": "180154117",
            "telephone_number": "610-868-2710",
            "fax_number": "610-868-6130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNDU",
        "first_name": "KAUSHIK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD062852L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIEL",
            "identifier": "968020",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "01206002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Hill, PA

Sources for this page

Verify at the official NPI Registry.