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DR. KUNAL B BUCH M.D.
NPI 1124373196
Internal Medicine - Nephrology in Lawrenceville, GA

Active since July 17, 2012PECOS EnrolledAccepts Medicare Assignment
85.99/100
CMS Quality Rating
601A PROFESSIONAL DR, SUITE 235, LAWRENCEVILLE, GA 30046(470) 292-3957(470) 292-3683 Get Directions Write a Review

NPPES record last updated: September 15, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 15, 2022, Feb 15, 2022, Feb 10, 2022 (3 updates tracked since 2022).

About Dr. Kunal B Buch M.d. NPPES

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

DR. KUNAL B BUCH M.D. (NPI 1124373196) is an individual nephrology provider in Lawrenceville, Georgia, licensed in Georgia (30322) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS, is affiliated with Emory Decatur Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1124373196
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. KUNAL B BUCHCredential: M.D.
Location Address601A PROFESSIONAL DR, SUITE 235Lawrenceville, GA 30046
Mailing AddressPo Box 3877Joliet, IL 60434-3877 · (815) 714-7149 · Fax (815) 435-5080
Phone(470) 292-3957
Fax(470) 292-3683
Sole ProprietorNo
Medical School CMSEmory University School Of MedicineGraduated 2021
Enumeration DateJuly 17, 2012
Last NPPES UpdateSeptember 15, 20223 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2022
✔ NPI 1124373196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in GA · 30322
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedInternal MedicineTaxonomy 207R00000X · License 201501475 (NC)
601A PROFESSIONAL DR, Lawrenceville, GA 30046
Open in Google Maps ↗

Secondary Practice Locations 2

Location 13268 Greenbriar Pkwy SW Ste BAtlanta, GA 30331-2604 · Phone (470) 292-3957 · Fax (470) 292-3683
Location 23660 Flat Shoals Rd Ste 250Decatur, GA 30034-1637 · Phone (678) 935-6090

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kunal B Buch M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6608186325
PECOS Enrollment IDI20210407000543
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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
255 services77 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
46 services42 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
41 services21 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
38 services24 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Emory Decatur Hospital

Acute Care Hospitals · Decatur, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110076
Location2701 N Decatur RoadDecatur, GA 30033 · De Kalb County
Emergency services Birthing friendly

Emory University Hospital Midtown

Acute Care Hospitals · Atlanta, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110078
Location550 Peachtree Street, NEAtlanta, GA 30308 · Fulton County
Emergency services Birthing friendly

Piedmont Hospital

Acute Care Hospitals · Atlanta, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110083
Location1968 Peachtree Rd NWAtlanta, GA 30309 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30046 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.98
Improvement Activities40
Cost80.63

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. IVAN CLAUDIO-GONZALEZ
Internal Medicine (Nephrology)
601A PROFESSIONAL DR, SUITE 235
LAWRENCEVILLE, GA 30046
Gwinnett County (470) 292-3957
CHRISTA MCLENDON BRACEY
Nurse Practitioner (Women's Health)
601A PROFESSIONAL DR
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 339-4000
TAIWO ADESHIGBIN PT, DPT
Physical Therapist (Orthopedic)
601A PROFESSIONAL DR
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 513-0839
DR. DAVID LEWIS CLAY PT, DPT, COMT
Physical Therapist
601A PROFESSIONAL DR
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 513-0839
DR. PRIYANKA PATEL MD
Obstetrics & Gynecology (Gynecology)
601A PROFESSIONAL DR
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 339-4000
JUNAID NASIR M.D.
Internal Medicine (Nephrology)
601A PROFESSIONAL DR, SUITE 235
LAWRENCEVILLE, GA 30046
Gwinnett County (470) 292-3957

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kunal Buch's NPI number?

The NPI number for Kunal Buch is 1124373196. It was assigned to this individual provider in the NPPES registry on July 17, 2012.

Where is Kunal Buch located?

Kunal Buch practices at 601A Professional Dr Suite 235, Lawrenceville, GA 30046. The listed phone number is (470) 292-3957.

What is Kunal Buch's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Kunal Buch enrolled in Medicare?

Yes. Kunal Buch is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kunal Buch accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Kunal Buch as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kunal Buch affiliated with any hospitals?

According to CMS data, Kunal Buch is affiliated with Emory Decatur Hospital, Emory University Hospital Midtown and Piedmont Hospital.

When was this NPI record last updated?

The NPPES record for Kunal Buch was last updated on September 15, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.