Individual provider Active NPI

Hari Kiran Kuncha, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Apex, NC
National Provider Identifier
1992751903
Registry record updated Oct 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
200401089 Issued in NC
Practice address
1051 Pemberton Hill Rd
Suite # 102
Apex, NC 27502-4267
Phone
(919) 335-0911
Fax
(919) 362-6911
NPI assigned
May 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 200401089 NC Primary

Addresses

Primary practice location

1051 Pemberton Hill Rd
Suite # 102
Apex, NC 27502-4267

Mailing address

1051 Pemberton Hill Rd
Suite # 102
Apex, NC 27502-4267
Phone (919) 335-0911

Other identifiers 2

IdentifierTypeStateIssuer
138TJOtherNCBCBS
89138TJMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050201000656 NC Practitioner - Physical Medicine and RehabilitationPractitioner - Interventional Pain Management 3072564608

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Home Physicians, LLC Physical Medicine & Rehabilitation Past Accepting new patients
Triangle Spine & Sports Medicine PastSince Jun 19, 2008 Accepting new patients

Organizations & group practices 2

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": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225152000000",
    "number": "1992751903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 PEMBERTON HILL RD",
            "address_2": "SUITE # 102",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275024267",
            "telephone_number": "919-335-0911",
            "fax_number": "919-362-6911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 PEMBERTON HILL RD",
            "address_2": "SUITE # 102",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275024267",
            "telephone_number": "919-335-0911",
            "fax_number": "919-362-6911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNCHA",
        "first_name": "HARI",
        "middle_name": "KIRAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2008-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NC",
            "license": "200401089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "138TJ",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89138TJ",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Apex, NC

Sources for this page

Verify at the official NPI Registry.