THERESA JOSEPH KUNNEL MD
NPI 1093391625
Pediatrics - Pediatric Emergency Medicine in Saint Louis, MO

Q: What is Theresa Kunnel's NPI number?

The NPI number for Theresa Kunnel is 1093391625. It was assigned to this individual provider in the NPPES registry on March 23, 2021.

Q: What is Theresa Kunnel's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Q: When was this NPI record last updated?

The NPPES record for Theresa Kunnel was last updated on June 12, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 23, 2021PECOS Enrolled

1465 S GRAND BLVD, SAINT LOUIS, MO 63104(314) 617-2000 Get Directions Write a Review

NPPES record last updated: June 12, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Theresa Joseph Kunnel Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THERESA JOSEPH KUNNEL MD (NPI 1093391625) is an individual pediatric emergency medicine provider in Saint Louis, Missouri, licensed in Missouri (2025044573) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Orange, and is a graduate of R Franklin University Of Med & Sci/chicago Medical School (2021).

NPPES Registry Identity

NPI1093391625

Entity TypeIndividualFemale

Primary Taxonomy2080P0204X

Provider Legal NameTHERESA JOSEPH KUNNELCredential: MD

Location Address1465 S GRAND BLVDSaint Louis, MO 63104-1003

Mailing Address505 S Main St Ste 525Orange, CA 92868-4553 · (714) 456-5631 · Fax (714) 285-0389

Phone(314) 617-2000

Sole ProprietorNo

Medical School CMSR Franklin University Of Med & Sci/chicago Medical SchoolGraduated 2021

Enumeration DateMarch 23, 2021

Last NPPES UpdateJune 12, 2026

NPPES CertifiedJune 12, 2026

✔ NPI 1093391625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0204X

License✔ Licensed in MO · 2025044573

Definition

A pediatrician who has special qualifications to manage emergencies in infants and children.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1465 S GRAND BLVD, Saint Louis, MO 63104

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Secondary Practice Location 1

Location 1505 S Main St Ste 525Orange, CA 92868-4553 · Phone (714) 456-5631 · Fax (714) 285-0389

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Theresa Joseph Kunnel Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID42670515

PECOS Enrollment IDI20260601000551

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.