NPIMap

Individual provider Active NPI

Nena Korunda, MD

  • Internal Medicine Physician
  • Naples, FL
National Provider Identifier
1154372399
Registry record updated Nov 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
FLME0082233 Issued in FL
Practice address
4513 Executive Dr
Naples, FL 34119-9033
Phone
(239) 431-6464
NPI assigned
May 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X FLME0082233 FL Primary

Addresses

Primary practice location

4513 Executive Dr
Naples, FL 34119-9033

Mailing address

PO Box 110820
Naples, FL 34108-0114
Phone (239) 431-6464

Other identifiers 1

IdentifierTypeStateIssuer
261580100MedicaidFL

Other names 1

  • Nena Korunda Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081212000439 FL Practitioner - Internal Medicine 3476508094 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians
Korunda Medical, LLCGroup PAC ID 5092895334, 7 clinicians

Practice addresses (Care Compare)

1499 S Brandywine Cir
Fort Myers, FL 33919-6775
Phone (239) 202-0059

4513 Executive Dr
Suite 101
Naples, FL 34119-9033
Phone (239) 591-2803

Hospital & facility affiliations

  • Preferred Care Home Health Services Home health agency, Fort Myers, FL, CCN 109423
  • Trilogy Home Healthcare Home health agency, Estero, FL, CCN 108173
  • Patients First Home Care LLC Home health agency, Sarasota, FL, CCN 687176
  • Physicians Regional Medical Center - Pine Ridge Hospital, Naples, FL, CCN 100286
  • Naples Community Hospital Hospital, Naples, FL, CCN 100018
  • Lee Memorial Hospital Hospital, Fort Myers, FL, CCN 100012

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions43

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
FLME0082233FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Pavilion Clinc Past Accepting new patients
Collier Hma Physician Management LLC Internal Medicine Past Accepting new patients

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 3

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.

Hospital & facility affiliations 7

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": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352764800000",
    "number": "1154372399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 110820",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341080114",
            "telephone_number": "239-431-6464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4513 EXECUTIVE DR",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341199033",
            "telephone_number": "239-431-6464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORUNDA",
        "first_name": "NENA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2012-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "FLME0082233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "261580100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NENA",
            "last_name": "KORUNDA",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.