Shaan Kunwar, DO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

OS11917 Issued in FL

Practice address

11009 Gatewood Dr Ste 104
Bradenton, FL 34211-4941

Phone

(941) 727-7771

Fax

(941) 251-0488

NPI assigned

Jul 5, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Internal Medicine

Education

Lake Erie College of Osteopathic Medicine, Erie, 2010

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• East County Internal Medicine PA

  • Internal Medicine Physician
  • Bradenton, FL
  • NPI 1942740170
  Medicare reassignment NPD Authorized official
• Pointe West Infectious Diseases P L

  • Infectious Disease Physician
  • Bradenton, FL
  • NPI 1821246661
  NPD (past)

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

{
    "created_epoch": "1278288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779667200000",
    "number": "1205148491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11009 GATEWOOD DR STE 104",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342114941",
            "telephone_number": "941-727-7771",
            "fax_number": "941-251-0488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11009 GATEWOOD DR STE 104",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342114941",
            "telephone_number": "941-727-7771",
            "fax_number": "941-251-0488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNWAR",
        "first_name": "SHAAN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-05",
        "last_updated": "2026-05-25",
        "certification_date": "2026-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS11917",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "UO2528",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Gerard Kulikowski, RPH
• Kristin Beth Kulju, DC
• Avinash G Kumar, MD
• Janice Kummer, AP, DOM
• Laura Elizabeth Kunberger, MD
• Gregory Kurgansky
• Ann Louise Kurka, FNP, CWS
• Melanie Kurtz, M.S., BCBA
• Brandon Kvistad, RN
• L & W Pediatrics PA

• Internal Medicine Physician in Bradenton, FL
• Providers in Bradenton, 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 May 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.