Active NPI
Kunjana Mavunda, M.D.
- Pediatric Pulmonology Physician
- South Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Pulmonology Physician
- License
- ME0047855
- Practice address
- 6280 Sunset Dr
South Miami, FL 33143-4827 - Phone
- (305) 668-0075
- Fax
- (305) 668-6299
- NPI assigned
- Jun 30, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Pulmonology Physician | 2080P0214X | ME0047855 | FL | Primary |
Addresses
Primary practice location
6280 Sunset Dr
South Miami, FL 33143-4827
Mailing address
5955 Ponce de Leon Blvd
Coral Gables, FL 33146-2423
Phone (305) 661-1515
Other practice location 1
7100 W 20th Ave Ste 616
Hialeah, FL 33016-1814
Phone (305) 556-4263
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0047855 | FL | MD | Pediatric Pulmonology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kidz Medical Services, Inc | Current | Accepting new patients | |
| Kidz Medical Services, Inc | Pediatric Pulmonology | Current | Accepting new patients |
| International Travel Clinic | Past | Accepting new patients |
Locations
9980 Central Park Blvd N
Ste 318
Boca Raton, FL 33428
Phone (561) 451-0500
5955 Ponce de Leon Blvd
Coral Gables, FL 33146
Phone (305) 662-8668
7100 W 20th Ave
Ste 616
Hialeah, FL 33016
Phone (305) 435-4465
975 Baptist Way
Ste 203
Homestead, FL 33033
Phone (305) 242-8200
6280 Sunset Dr
Ste 607
South Miami, FL 33143
Phone (305) 665-2300
Interoperability endpoints
- kunjanamavunda@kms.allscriptsdirect.net
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Children's Hospital
- Coral Gables, FL
- NPI 1366408379
Pediatric Pulmonology
-
- Medical Specialty Clinic/Center
- South Miami, FL
- NPI 1629303375
-
- Pediatrics Physician
- South Miami, FL
- NPI 1639530397
-
- Pediatric Nephrology Physician
- South Miami, FL
- NPI 1730637927
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616544000000",
"number": "1457358806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5955 PONCE DE LEON BLVD",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331462423",
"telephone_number": "305-661-1515",
"fax_number": "305-662-3723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6280 SUNSET DR",
"city": "SOUTH MIAMI",
"state": "FL",
"postal_code": "331434827",
"telephone_number": "305-668-0075",
"fax_number": "305-668-6299"
}
],
"practiceLocations": [
{
"address_1": "7100 W 20th Ave Ste 616",
"address_purpose": "LOCATION",
"city": "Hialeah",
"state": "FL",
"postal_code": "330161814",
"country_code": "US",
"telephone_number": "305-556-4263",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAVUNDA",
"first_name": "KUNJANA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-30",
"last_updated": "2021-03-24",
"certification_date": "2021-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0214X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Pulmonology",
"state": "FL",
"license": "ME0047855",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.