Individual provider Active NPI

Kulmeet S Kundlas, M.D.

  • Internal Medicine Physician
  • Sebring, FL
National Provider Identifier
1336293497
Registry record updated Mar 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0073743 Issued in FL
Practice address
4597 Casablanca Cir
Sebring, FL 33870-1206
Phone
(863) 236-9550
Fax
(877) 832-3363
NPI assigned
Jan 23, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2022

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 ME0073743 FL Primary

Addresses

Primary practice location

4597 Casablanca Cir
Sebring, FL 33870-1206

Mailing address

6801 US Highway 27 N Ste D2
Sebring, FL 33870-1046
Phone (863) 236-9550

Other practice location 1

25103 US Highway 27
Lake Wales, FL 33859-6843
Phone (863) 439-1510

Other practice location 2

25103 US Highway 27
Lake Wales, FL 33859-6843
Phone (863) 439-1510

Other identifiers 1

IdentifierTypeStateIssuer
252638700MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kulmeet.kundlas@smgp.eclinicaldirectplus.com Health Information Exchange (HIE)

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
I20041221000481 FL Practitioner - Internal Medicine 7911965132 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Shield Medical Group PLLCGroup PAC ID 0648534479, 2 clinicians

Practice addresses (Care Compare)

23607 US Hwy 27
Lake Wales, FL 33859-6305
Phone (863) 236-9551

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0073743FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shield Medical Group PLLC Internal Medicine CurrentSince Feb 1, 2018 Accepting new patients
Sunrise Pediatrics LLC PastSince Nov 30, 2025 Accepting new patients
Physicians Services LLC Internal Medicine PastSince Dec 20, 2004 Accepting new patients
Interventional Cardiology and Vascular Consultants, P.L.C. PastSince May 19, 2021 Accepting new patients

Locations

23607 US Highway 27
Lake Wales, FL 33859
Phone (727) 522-1061

25103 US Highway 27
Lake Wales, FL 33859
Phone (863) 236-9550

6801 US 27 N
Ste D2
Sebring, FL 33870
Phone (863) 236-9550

4597 Casablanca Cir
Sebring, FL 33870
Phone (863) 236-9550

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: admin@jsamedicalgroup.e-mdsdirect.com
  • Direct secure messaging: kulmeet.kundlas@smgp.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/CJAGBA
  • Direct secure messaging: kkundlas@yourcarecommunity.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/BIEDBD

Organizations & group practices 4

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 5

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": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646870400000",
    "number": "1336293497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 US HIGHWAY 27 N STE D2",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338701046",
            "telephone_number": "863-236-9550",
            "fax_number": "877-832-3363"
        },
        {
            "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": [
        {
            "address_1": "25103 US Highway 27",
            "address_purpose": "LOCATION",
            "city": "Lake Wales",
            "state": "FL",
            "postal_code": "338596843",
            "country_code": "US",
            "telephone_number": "863-439-1510",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25103 US Highway 27",
            "address_purpose": "LOCATION",
            "city": "Lake Wales",
            "state": "FL",
            "postal_code": "338596843",
            "country_code": "US",
            "telephone_number": "863-439-1510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUNDLAS",
        "first_name": "KULMEET",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0073743",
            "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": "6801 US Highway 27 N Ste D2",
            "city": "Sebring",
            "state": "FL",
            "country_code": "US",
            "postal_code": "338701046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sebring, FL

Sources for this page

Verify at the official NPI Registry.