Korunda Medical, LLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

ME86588 Issued in FL

Legal business name

KORUNDA MEDICAL, LLC

Doing business as

Korunda Pain Management Center

Practice address

661 Goodlette Frank Rd Ste 103
Naples, FL 34102-5609

Phone

(239) 591-2803

Fax

(239) 594-5637

NPI assigned

Sep 5, 2017

Last updated

Sep 5, 2017By the provider in NPPES

Organization subpart

Yes

Parent organization

KORUNDA MEDICAL, LLCAs reported in NPPES

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

Authorized official

Name

Zdenko Korunda, MDNPI 1104876861

Title

Medical Director

Phone

(239) 591-2803

Specialties & licenses 2

Addresses

Other names 1

• Korunda Pain Management Center Doing business as

Medicare fee-for-service enrollment

Enrolled in FL2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Korunda Medical, LLC

  dba Korunda Medical Institute

  • Interventional Pain Medicine Physician
  • Bonita Springs, FL
  • NPI 1548788292

  5092895334

  Same PAC ID
• Korunda Medical, LLC

  • Interventional Pain Medicine Physician
  • Naples, FL
  • NPI 1609056282

  5092895334

  Same PAC ID

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Korunda Medical, LLC

  dba Korunda Pain Management Center

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Naples, FL
  • NPI 1467970038

  O20071228000056

  Same enrollment
• Korunda Medical, LLC

  dba Korunda Medical Institute

  • Interventional Pain Medicine Physician
  • Bonita Springs, FL
  • NPI 1548788292

  O20071228000056

  Same enrollment
• Korunda Medical, LLC

  • Interventional Pain Medicine Physician
  • Naples, FL
  • NPI 1609056282

  O20071228000056

  Same enrollment

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

CLIA laboratory certificates

Part of

Korunda Medical LLC

Practitioners 2

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.

• Zdenko Korunda, M.D.

  • Interventional Pain Medicine Physician
  • Naples, FL
  • NPI 1104876861
  Authorized official Same address or phone
• Ashley Anne Grimes, ARNP

  • Family Nurse Practitioner
  • Naples, FL
  • NPI 1497568315
  NPD

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

{
    "created_epoch": "1504569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504569600000",
    "number": "1396263877",
    "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": "239-591-2803",
            "fax_number": "239-594-5637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "661 GOODLETTE FRANK RD STE 103",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025609",
            "telephone_number": "239-591-2803",
            "fax_number": "239-594-5637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KORUNDA MEDICAL, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KORUNDA MEDICAL, LLC",
        "enumeration_date": "2017-09-05",
        "last_updated": "2017-09-05",
        "status": "A",
        "authorized_official_last_name": "KORUNDA",
        "authorized_official_first_name": "ZDENKO",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "239-591-2803",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "FL",
            "license": "OS11178",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "ME86588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Korunda Pain Management Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melanie Bacal Korn, MD
• Emily Korolevich, LMFT
• Robert Michael Korolevich, M.D.
• Csilla Korom, NP
• Karl K Korri, MD
• Korunda Medical, LLC (Korunda Pain Management Center)
• Korunda Medical, LLC
• Korunda Medical, LLC
• Nena Korunda, MD
• Zdenko Korunda, M.D.

• Interventional Pain Medicine Physician in Naples, FL
• Providers in Naples, FL by specialty
• Interventional Pain Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2017; 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.