Active NPI
Maurice Kioko Ndunda, CRNA
- Certified Registered Nurse Anesthetist
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 1086964
- Practice address
- 3500 E Fletcher Ave
Tampa, FL 33613-4708 - Phone
- (813) 558-6797
- NPI assigned
- Mar 31, 2020
- Last updated
- Mar 1, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | APRN11019764 | FL | |
| Certified Registered Nurse Anesthetist | 367500000X | 35762 | TN | |
| Certified Registered Nurse Anesthetist | 367500000X | 1086964 | TX | Primary |
Addresses
Primary practice location
3500 E Fletcher Ave
Tampa, FL 33613-4708
Mailing address
13309 Connersville Blvd
Tampa, FL 33617-9318
Other practice location 1
13309 Connersville Blvd
Tampa, FL 33617-9318
Phone (314) 583-0154
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, TX, TN
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1265 Union Ave
Suite 201
Memphis, TN 38104-3415
Phone (901) 516-7000
1300 Wesley Dr
Memphis, TN 38116-6426
Phone (901) 516-3700
3960 New Covington Pike
Memphis, TN 38128-2504
Phone (901) 516-5200
7691 Poplar Ave
Germantown, TN 38138-3904
Phone (901) 516-6000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.8 of 100
- Quality
- 99.47
- Improvement activities
- 40
- Cost
- 83.62
Merit-based Incentive Payment System (MIPS)
- Final score
- 54.86 of 100
- Quality
- 24.58
- Promoting interoperability
- 100
- Improvement activities
- 0
- Cost
- 74.97
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11019764 | FL | MD | Certified Registered Nurse Anesthetist |
| 35762 | TN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Resource Anesthesiology Associates of TN PC | Anesthesiology | Current | Accepting new patients |
| Greater Florida Anesthesiologists, LLC | Anesthesiology | Current | Accepting new patients |
| US Anesthesia Partners of Florida Inc. | Anesthesiology | Current | Accepting new patients |
| Greater Florida Anesthesiologists, LLC | Anesthesiology | Current | Accepting new patients |
| Greater Florida Anesthesiologists, LLC | Anesthesiology | Current | Accepting new patients |
| Hendrick Anesthesia Network | Current | Accepting new patients | |
| Capital Anesthesia Solutions of Florida II, LLC | Anesthesiology | Current | Accepting new patients |
Locations
300 Pinellas St
Clearwater, FL 33756
Phone (727) 461-8552
2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000
2140 W 68th St
Hialeah, FL 33016
Phone (305) 332-2065
8300 Collier Blvd
Naples, FL 34114
Phone (239) 348-4000
601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996
460 N State Road 7
Royal Palm Beach, FL 33411
Phone (561) 792-7333
900 Carillon Pkwy
Ste 205
St Petersburg, FL 33716
Phone (727) 561-2710
1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333
540 The Rialto
Venice, FL 34285
Phone (866) 481-2553
200 Avenue F NE
Winter Haven, FL 33881
Phone (863) 292-4652
2600 Bruce B Downs Blvd
Zephyrhills, FL 33544
Phone (954) 393-5000
7050 Gall Blvd
Zephyrhills, FL 33541
Phone (813) 779-1209
4250 Bethel Rd
Olive Branch, MS 38654
Phone (662) 932-9000
450 Mamaroneck Ave
Ste 201
Harrison, NY 10528
Phone (877) 476-6642
1265 Union Ave
Memphis, TN 38104
Phone (901) 516-2362
1265 Union Ave
Ste 201
Memphis, TN 38104
Phone (901) 516-7000
1300 Wesley Dr
Memphis, TN 38116
Phone (901) 516-3700
3960 New Covington Pike
Memphis, TN 38128
Phone (901) 516-5200
7691 Poplar Ave
Memphis, TN 38138
Phone (901) 516-1290
1900 Pine St
Abilene, TX 79601
Phone (325) 670-4220
751 N 18th St
Abilene, TX 79601
Phone (915) 676-0557
Organizations & group practices 8
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.
-
- Anesthesiology Physician
- Memphis, TN
- NPI 1316724073
-
- Anesthesiology Physician
- Naples, FL
- NPI 1891318481
-
dba JLR Anesthesia Assoc
- Anesthesiology Physician
- Maitland, FL
- NPI 1518910520
-
- Specialist
- Abilene, TX
- NPI 1851394993
-
- Anesthesiology Physician
- St Petersburg, FL
- NPI 1942519657
-
- Anesthesiology Physician
- Pinellas Park, FL
- NPI 1487226635
-
- Anesthesiology Physician
- Safety Harbor, FL
- NPI 1528630795
-
- Anesthesiology Physician
- Port St Lucie, FL
- NPI 1760054019
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Le Bonheur Children's Hospital
- Children's Hospital
- Memphis, TN
- NPI 1386709871
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1558365890
-
dba Le Bonheur Children's Hospital - Germantown
- Children's Hospital
- Germantown, TN
- NPI 1649654450
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709251200000",
"number": "1477181816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13309 CONNERSVILLE BLVD",
"city": "TAMPA",
"state": "FL",
"postal_code": "336179318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 E FLETCHER AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336134708",
"telephone_number": "813-558-6797"
}
],
"practiceLocations": [
{
"address_1": "13309 Connersville Blvd",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336179318",
"country_code": "US",
"telephone_number": "314-583-0154",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NDUNDA",
"first_name": "MAURICE",
"middle_name": "KIOKO",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-31",
"last_updated": "2024-03-01",
"certification_date": "2024-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "APRN11019764",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "35762",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "1086964",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; 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.