KUNAL GADA MD
NPI 1629421060
Internal Medicine - Pulmonary Disease in Knoxville, TN

Q: What is Kunal Gada's NPI number?

The NPI number for Kunal Gada is 1629421060. It was assigned to this individual provider in the NPPES registry on July 21, 2016.

Q: What is Kunal Gada's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Kunal Gada was last updated on June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 21, 2016PECOS EnrolledAccepts Medicare Assignment

6473 KINGSTON PIKE STE 6473, KNOXVILLE, TN 37919(865) 588-8831(865) 588-8841 Get Directions Write a Review

NPPES record last updated: June 22, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 19, 2025, Jul 5, 2023 (2 updates tracked since 2023).

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About Kunal Gada Md NPPES

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

KUNAL GADA MD (NPI 1629421060) is an individual pulmonary disease provider in Knoxville, Tennessee, licensed in Tennessee (67588) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS, is affiliated with Starr Regional Medical Center Athens, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1629421060

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameKUNAL GADACredential: MD

Location Address6473 KINGSTON PIKE STE 6473Knoxville, TN 37919-4832

Mailing Address3030 Nw Expressway Ste 1000Oklahoma City, OK 73112-5468 · (248) 781-8593 · Fax (801) 618-2497

Phone(865) 588-8831

Fax(865) 588-8841

Sole ProprietorYes

Medical School CMSOtherGraduated 2006

Enumeration DateJuly 21, 2016

Last NPPES UpdateJune 22, 20262 updates tracked since enumeration

NPPES CertifiedJune 22, 2026

✔ NPI 1629421060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in TN · 67588

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 67588 (TN)

6473 KINGSTON PIKE STE 6473, Knoxville, TN 37919

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kunal Gada Md 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 ID8921344599

PECOS Enrollment IDI20230801003647

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.

Medicare Billing Reassignments

Medicare enrollment records show Kunal Gada reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Statcare Outpatient, LLC

Same address

Pulmonary Disease

6473 KINGSTON PIKE
Knoxville, TN 37919

Reassigned Medicare billing, Tennessee enrollment
21 clinicians in this Medicare group

NPI 1134653892 (865) 588-8831

Statcare Inpatient LLC

3.7 mi

Internal Medicine

2240 SUTHERLAND AVE STE 103
Knoxville, TN 37919

Reassigned Medicare billing, Tennessee enrollment
78 clinicians in this Medicare group

NPI 1477086981 (865) 909-0090

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 16

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 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.

169 services94 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

134 services54 patients

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.

104 services57 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

50 services49 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.

37 services37 patients

Test to determine lung volumes using gas dilution or washout 94727

This test measures lung volumes by either diluting or washing out a known amount of gas in your lungs. You'll breathe in a harmless gas, then exhale. The exhaled air is analyzed to assess your lung capacity and function.

25 services24 patients

Test to examine how well the lungs exchange gases 94729

This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.

25 services24 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

18 services18 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.

18 services16 patients

Critical care, each additional 30 minutes 99292

Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.

17 services11 patients

Telehealth consultation, emergency department or initial inpatient, typically 70 minutes or more communicating with the patient via telehealth G0427

A Telehealth consultation is a virtual visit where you can discuss your health concerns with a healthcare provider from the comfort of your home. In this process, which typically lasts 70 minutes or more, the provider can assess, diagnose, and offer treatment options for your condition using communication technology.

17 services17 patients

Test to measure expiratory airflow and volume 94010

This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.

16 services15 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

16 services16 patients

Emergent insertion of breathing tube into windpipe using an endoscope 31500

This is a procedure where a thin tube is inserted into your windpipe to aid in breathing. It's done in emergency situations, using an endoscope, a tool with a light and camera, to ensure correct placement.

14 services13 patients

Insertion of non-tunneled central venous tube for infusion (5 years or older) 36556

This procedure involves placing a thin tube into a large vein, usually in the neck or chest, to administer medication or fluids. It's done under local anesthesia to minimize discomfort. It's a standard, safe procedure for individuals aged 5 and above.

11 services11 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 5

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

Starr Regional Medical Center Athens

Acute Care Hospitals · Athens, TN

4/5 CMS rating

OwnershipProprietary

CMS Certification Number440068

Location1114 W Madison AveAthens, TN 37371 · Mc Minn County

Emergency services Birthing friendly

Sweetwater Hospital Association

Acute Care Hospitals · Sweetwater, TN

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440084

Location304 Wright StSweetwater, TN 37874 · Monroe County

Emergency services Birthing friendly

Fort Loudoun Medical Center

Acute Care Hospitals · Lenoir City, TN

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number440110

Location550 Fort Loudon Medical Center DrLenoir City, TN 37772 · Loudon County

Emergency services

Fort Sanders Regional Medical Center

Acute Care Hospitals · Knoxville, TN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440125

Location1901 W Clinch AveKnoxville, TN 37916 · Knox County

Emergency services Birthing friendly

Parkwest Medical Center

Acute Care Hospitals · Knoxville, TN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440173

Location9352 Park West BlvdKnoxville, TN 37923 · Knox County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37919 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

$121.80 typical visit price

range $52.64 – $160.89

Typical copayment $30.45 (range $13.16 – $40.22)

Most-billed visit code 99204

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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.

Other Providers at the Same Location NPPES 3

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

KATHERINE A CROSS FNP-C

Nurse Practitioner (Family)

6473 KINGSTON PIKE STE 6473
KNOXVILLE, TN 37919

Knox County (865) 588-8831

DR. JAYEN M BHAKTA MD

Internal Medicine (Pulmonary Disease)

6473 KINGSTON PIKE STE 6473
KNOXVILLE, TN 37919

Knox County (865) 588-8831

DR. SUNIL GOVIND CHULANI M.D.

Internal Medicine (Pulmonary Disease)

6473 KINGSTON PIKE STE 6473
KNOXVILLE, TN 37919

Knox County (865) 588-8831

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 Gada's NPI number?

The NPI number for Kunal Gada is 1629421060. It was assigned to this individual provider in the NPPES registry on July 21, 2016.

Where is Kunal Gada located?

Kunal Gada practices at 6473 Kingston Pike Ste 6473, Knoxville, TN 37919. The listed phone number is (865) 588-8831.

What is Kunal Gada's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Kunal Gada enrolled in Medicare?

Yes. Kunal Gada 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.

Which organizations bill Medicare for Kunal Gada's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kunal Gada reassigns Medicare benefits to 2 organizations: Statcare Outpatient, LLC (Knoxville, TN) and Statcare Inpatient LLC (Knoxville, TN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kunal Gada's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kunal Gada accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 4 other insurers list Kunal Gada 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 Gada affiliated with any hospitals?

According to CMS data, Kunal Gada is affiliated with Starr Regional Medical Center Athens, Sweetwater Hospital Association, Fort Loudoun Medical Center, Fort Sanders Regional Medical Center and Parkwest Medical Center.

When was this NPI record last updated?

The NPPES record for Kunal Gada was last updated on June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.