Individual provider Active NPI

Anjana Kundu

  • Pediatric Anesthesiology Physician
  • Dayton, OH
National Provider Identifier
1396835286
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Anesthesiology PhysicianTaxonomy code 207LP3000X
License
35-122037 Issued in OH
Practice address
One Children'S Plaza
Children'S Anesthesia Group, Inc.
Dayton, OH 45404-1815
Phone
(937) 641-3350
Fax
(937) 641-6145
NPI assigned
Oct 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X MD00042730 WA
Pain Medicine (Anesthesiology) Physician 207LP2900X 35.122037 OH
Pediatric Anesthesiology Physician 207LP3000X MD00042730 WA
Hematology & Oncology Physician 207RH0003X 314280 NY
Pediatric Anesthesiology Physician 207LP3000X 35-122037 OH Primary

Addresses

Primary practice location

One Children'S Plaza
Children'S Anesthesia Group, Inc.
Dayton, OH 45404-1815

Mailing address

One Children'S Plaza
Children'S Anesthesia Group, Inc.
Dayton, OH 45404-1815
Phone (937) 641-3350

Other identifiers 2

IdentifierTypeStateIssuer
310320OtherINTERNAL ID-MOTOR VEHICLE ID
8364440MedicaidWA

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address akundu247069@direct.urmc.rochester.edu Direct
Direct Messaging Address akundu247069@direct.urmc.rochester.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20141001002082 OH Practitioner - Anesthesiology 2365570926 Reassigns benefits to 1 organization
I20220201000440 NY Practitioner - Anesthesiology 2365570926

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00042730WAMDPain Medicine (Anesthesiology) Physician
35-122037OHMDPediatric Anesthesiology Physician
314280NYMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Anesthesia Associates Inc Pain Medicine CurrentSince Aug 14, 2014 Accepting new patients
U of R Anesthesiology Group Pain Medicine CurrentSince Feb 10, 2022 Accepting new patients
Pediatric Anesthesia Associates of Dayton, Inc. Past Accepting new patients

Locations

601 Elmwood Ave
#604
Rochester, NY 14642
Phone (585) 275-2141

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

700 Childrens Dr
Columbus, OH 43205
Phone (614) 722-4411

Interoperability endpoints

  • Direct secure messaging: akundu247069@direct.urmc.rochester.edu

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.

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1396835286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE CHILDREN'S PLAZA",
            "address_2": "CHILDREN'S ANESTHESIA GROUP, INC.",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454041815",
            "telephone_number": "937-641-3350",
            "fax_number": "937-641-6145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE CHILDREN'S PLAZA",
            "address_2": "CHILDREN'S ANESTHESIA GROUP, INC.",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454041815",
            "telephone_number": "937-641-3350",
            "fax_number": "937-641-6145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNDU",
        "first_name": "ANJANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "WA",
            "license": "MD00042730",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "OH",
            "license": "35.122037",
            "primary": false
        },
        {
            "code": "207LP3000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pediatric Anesthesiology",
            "state": "WA",
            "license": "MD00042730",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NY",
            "license": "314280",
            "primary": false
        },
        {
            "code": "207LP3000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pediatric Anesthesiology",
            "state": "OH",
            "license": "35-122037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERNAL ID-MOTOR VEHICLE ID",
            "identifier": "310320",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8364440",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "akundu247069@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "akundu247069@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.