Individual provider Active NPI

Mrunalini Kavuri, MD

  • Adult Medicine Physician
  • Delray Beach, FL
National Provider Identifier
1063639516
Registry record updated May 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
ME98282 Issued in FL
Practice address
2150 Lake Ida Rd
# 5
Delray Beach, FL 33445-2443
Phone
(561) 330-3026
Fax
(561) 330-3027
NPI assigned
Apr 19, 2007
Last updated
May 15, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X ME98282 FL Primary
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X 4301084122 MI

Addresses

Primary practice location

2150 Lake Ida Rd
# 5
Delray Beach, FL 33445-2443

Mailing address

2150 Lake Ida Rd
# 5
Delray Beach, FL 33445-2443
Phone (561) 330-3026

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080424000734 FL Practitioner - Family Practice 1355429705 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mrunalini Kavuri MD PAGroup PAC ID 5890873244, 2 clinicians

Practice addresses (Care Compare)

2150 Lake Ida Rd
Suite 5
Delray Beach, FL 33445-2443
Phone (561) 330-3026

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301084122MIMDHospice and Palliative Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mrunalini Kavuri MD PA CurrentSince Apr 30, 2003 Accepting new patients
Palm Beach Community Care, LLC CurrentSince Jan 2, 2008 Accepting new patients

Locations

2150 Lake Ida Rd
Ste 5
Delray Beach, FL 33445
Phone (561) 279-9979

Interoperability endpoints

  • Direct secure messaging: mrunalini.kavuri@pcpb.emedpractice.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210809600000",
    "number": "1063639516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 LAKE IDA RD",
            "address_2": "# 5",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334452443",
            "telephone_number": "561-330-3026",
            "fax_number": "561-330-3027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 LAKE IDA RD",
            "address_2": "# 5",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334452443",
            "telephone_number": "561-330-3026",
            "fax_number": "561-330-3027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAVURI",
        "first_name": "MRUNALINI",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-19",
        "last_updated": "2008-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "FL",
            "license": "ME98282",
            "primary": true
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "MI",
            "license": "4301084122",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

Verify at the official NPI Registry.