NPIMap

Individual provider Active NPI

Aneley Yegezu Hundae, MD

  • Cardiovascular Disease Physician
  • Port Charlotte, FL
National Provider Identifier
1659551356
Registry record updated Jan 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME106485 Issued in FL
Practice address
3161 Harbor Blvd Ste a
Port Charlotte, FL 33952-6754
Phone
(941) 235-8892
Fax
(941) 883-4494
NPI assigned
Nov 9, 2007
Last updated
Jan 23, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME106485 FL
Cardiovascular Disease Physician 207RC0000X ME106485 FL Primary

Addresses

Primary practice location

3161 Harbor Blvd Ste a
Port Charlotte, FL 33952-6754

Mailing address

3161 Harbor Blvd Ste a
Port Charlotte, FL 33952-6754
Phone (941) 235-8892

Other identifiers 1

IdentifierTypeStateIssuer
101320800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110112000160 FL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4486713203 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Aneley Hundae Port Charlotte Cardiology LLCGroup PAC ID 8921345109, 3 clinicians

Practice addresses (Care Compare)

1215 Jacaranda Blvd
Venice, FL 34292-4520
Phone (941) 235-8892

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME106485FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aneley Hundae Port Charlotte Cardiology LLC Cardiovascular Disease CurrentSince Nov 1, 2018 Accepting new patients
Cardiac Imaging Inc CurrentSince Aug 27, 2026 Accepting new patients
Inpatient Consultants of Georgia, Inc Internal Medicine Past Accepting new patients

Locations

3161 Harbor Blvd
Ste A
Pt Charlotte, FL 33952
Phone (941) 235-8892

1215 Jacaranda Blvd
Venice, FL 34292
Phone (941) 451-8282

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: aneley.hundae@hundaepcc.directbygreenway.com
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.73081

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1194566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548201600000",
    "number": "1659551356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3161 HARBOR BLVD STE A",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339526754",
            "telephone_number": "941-235-8892",
            "fax_number": "941-883-4494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3161 HARBOR BLVD STE A",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339526754",
            "telephone_number": "941-235-8892",
            "fax_number": "941-883-4494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNDAE",
        "first_name": "ANELEY",
        "middle_name": "YEGEZU",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-09",
        "last_updated": "2019-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME106485",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME106485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101320800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

Verify at the official NPI Registry.