Shield Medical Group PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME73743 Issued in FL

Legal business name

SHIELD MEDICAL GROUP PLLC

Practice address

4597 Casablanca Cir
Sebring, FL 33870-1206

Phone

(863) 236-9550

Fax

(877) 832-3363

NPI assigned

Feb 23, 2018

Last updated

Apr 6, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kulmeet S Kundlas, MDNPI 1336293497

Title

President

Phone

(863) 255-9595

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BIEDBD
• Direct secure messaging: kulmeet.kundlas@smgp.eclinicaldirectplus.com

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kulmeet S Kundlas, M.D.

  • Internal Medicine Physician
  • Sebring, FL
  • NPI 1336293497
  Medicare reassignment Care Compare group NPD Authorized official
• Carlos M Baez Cubille, MD

  • General Practice Physician
  • Sebring, FL
  • NPI 1225082068
  Medicare reassignment Care Compare group NPD
• Luis M Rodriguez Gonzalez, MD

  • General Practice Physician
  • Tampa, FL
  • NPI 1770504565

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1519344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649203200000",
    "number": "1184125338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 919558",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328919558",
            "telephone_number": "863-236-9550",
            "fax_number": "863-236-9551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4597 CASABLANCA CIR",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338701206",
            "telephone_number": "863-236-9550",
            "fax_number": "877-832-3363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIELD MEDICAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-23",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A",
        "authorized_official_last_name": "KUNDLAS",
        "authorized_official_first_name": "KULMEET",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "863-255-9595",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME73743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "252638700",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kulmeet.kundlas@smgp.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "4597 Casablanca Cir",
            "city": "Sebring",
            "state": "FL",
            "country_code": "US",
            "postal_code": "338701206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Priya Sharma, MD
• Rakesh K. Sharma, M.D.
• SHC Home Health Services - Lakeland, LLC (Signature HomeNow)
• Anthlesia Shepherd, RN
• Akaanksh Shetty, MD
• Thomas Shimshak, M.D.
• Gregg Ian Shore, MD
• Ruth Short, RN C PSYCH MH
• Jenny Jane Shung, ARNP
• Ruthe Simon Thomas

• Internal Medicine Physician in Sebring, FL
• Providers in Sebring, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.