Kenneth C. Sundberg, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

ARNP9331225 Issued in FL

Practice address

225 E Robinson St
Suite 130
Orlando, FL 32801-4322

Phone

(407) 581-9180

Fax

(865) 560-7066

NPI assigned

Apr 17, 2017

Sex

Male

Sole proprietor

No

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.

• Amsurg Altamonte Springs Anesthesia, LLC

  • Anesthesiology Physician
  • Altamonte Springs, FL
  • NPI 1306187513

  FL

  Medicare reassignment Care Compare group NPD
• US Anesthesia Partners of Florida Inc.

  • Anesthesiology Physician
  • Maitland, FL
  • NPI 1518910520

  FL, Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Amsurg Citrus Anesthesia LLC

  • Anesthesiology Physician
  • Orlando, FL
  • NPI 1255774212

  FL

  Medicare reassignment NPD
• Amsurg Port Orange Anesthesia, LLC

  • Anesthesiology Physician
  • Port Orange, FL
  • NPI 1043654270

  FL

  Medicare reassignment NPD
• Amsurg Rockledge FL Anesthesia LLC

  • Anesthesiology Physician
  • Rockledge, FL
  • NPI 1083953772

  FL

  Medicare reassignment NPD
• Anesthesia Associates of Ocala, LLC

  • Anesthesiology Physician
  • Ocala, FL
  • NPI 1962808287

  FL

  Medicare reassignment NPD
• Anesthesia Dynamics LLC

  • Anesthesiology Physician
  • Bradenton, FL
  • NPI 1073001012

  FL, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Endoscopic Anesthesia Group, P.a.

  • Anesthesiology Physician
  • Orlando, FL
  • NPI 1922311448

  FL

  Medicare reassignment NPD
• Florida Pain Relief Group PLLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Tampa, FL
  • NPI 1376994608

  FL, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Gulf-to-Bay Anesthesiology Associates LLC

  • Anesthesiology Physician
  • Tampa, FL
  • NPI 1720039746

  FL

  Medicare reassignment NPD
• Metro Orlando Anesthesia Associates, LLC

  • Certified Registered Nurse Anesthetist
  • Orlando, FL
  • NPI 1558981712

  FL, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Orlando Anesthesia Consultants PA

  • Anesthesiology Physician
  • Ocoee, FL
  • NPI 1184661696

  FL, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

US Anesthesia Partners of Florida Inc 1,111 clinicians

Amsurg Altamonte Springs Anesthesia LLC 10 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

Practice roles (19 of 20)

Locations (25 of 31)

Networks

• Freedom Health HMO Network

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 31, 2017.

{
    "created_epoch": "1492387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496188800000",
    "number": "1477087419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4918",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328024918",
            "telephone_number": "407-581-9180",
            "fax_number": "865-560-7066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 E ROBINSON ST",
            "address_2": "SUITE 130",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328014322",
            "telephone_number": "407-581-9180",
            "fax_number": "865-560-7066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNDBERG",
        "first_name": "KENNETH",
        "middle_name": "C.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-17",
        "last_updated": "2017-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP9331225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suncoast Hand Clinic LLC
• Suncoast New Options Coletta Drive, LLC
• Suncoast Therapy Solutions, Inc.
• Crishtine Sundar
• Meera Sundar, MD
• Madison Sunderlin, BEHAVIOR TECHNICIAN
• Josie Sundie
• Upma Suneja
• Wai Tak Sung, PHARM. D.
• Sneha Sunil

• All providers in Orlando, FL
• Certified Registered Nurse Anesthetist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.