Individual provider Active NPI

Edmund F Funai, MD

  • Maternal & Fetal Medicine Physician
  • Trinity, FL
National Provider Identifier
1720061880
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
13898-320 Issued in WI
Practice address
9332 State Road 54 Ste 407
Trinity, FL 34655-1810
Phone
(727) 375-7295
Fax
(727) 375-7194
NPI assigned
Nov 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X 13898-320 WI Primary
Maternal & Fetal Medicine Physician 207VM0101X 040482 CT
Maternal & Fetal Medicine Physician 207VM0101X ME126203 FL
Maternal & Fetal Medicine Physician 207VM0101X 35.098393 OH

Addresses

Primary practice location

9332 State Road 54 Ste 407
Trinity, FL 34655-1810

Mailing address

PO Box 917770
Orlando, FL 32891-7770

Other practice location 1

704 S Webster Ave Ste 110
Green Bay, WI 54301-3528
Phone (920) 338-6868

Other identifiers 3

IdentifierTypeStateIssuer
1720061880MedicaidWI
RI2OXOtherFLBLUE CROSS BLUE SHIELD
016569000MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address EDMUND.FUNAI@hca4.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MS, WI3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20160328001956 FL Practitioner - Obstetrics/Gynecology 2668503632 Reassigns benefits to 1 organization
I20250828004970 MS Practitioner - Obstetrics/Gynecology 2668503632 Reassigns benefits to 1 organization
I20250929003563 WI Practitioner - Obstetrics/Gynecology 2668503632 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
New York Medical College, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bellin Memorial Hospital IncGroup PAC ID 8820900749, 685 clinicians

Practice addresses (Care Compare)

2500 N State St
Jackson, MS 39216-4500
Phone (601) 898-4404

744 S Webster Ave
Green Bay, WI 54301-3505
Phone (920) 433-6025

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
040482CTMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bellin Memorial Hospital Inc Current Accepting new patients
Bellin Memorial Hospital Inc CurrentSince Sep 17, 2025 Accepting new patients
Oconto Hospital & Medical Center, Inc. CurrentSince Sep 17, 2025 Accepting new patients
State of Mississippi-University of Mississippi Medical Center CurrentSince Jul 18, 2025 Accepting new patients
State of Mississippi - University of Mississippi Medical Center Current Accepting new patients
Oconto Hospital & Medical Center Inc CurrentSince Sep 17, 2025 Accepting new patients
Omni Medical Center for Women PLC Maternal & Fetal Medicine CurrentSince Sep 1, 2025 Accepting new patients
Oconto Hospital & Medical Center Inc Current Accepting new patients
Bellin Memorial Hospital Inc CurrentSince Sep 17, 2025 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Jul 18, 2025 Accepting new patients

Locations

706 W Platt St
Tampa, FL 33606
Phone (813) 251-2000

2500 N State St
Jackson, MS 39216
Phone (601) 815-4775

704 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-3784

744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025

704 S Webster Ave
Ste 110
Green Bay, WI 54301
Phone (920) 431-0200

2820 Roosevelt Rd
Marinette, WI 54143
Phone (715) 330-6171

820 Arbutus Ave
Oconto, WI 54153
Phone (920) 835-1100

Interoperability endpoints

  • Direct secure messaging: efunai1205318@direct.hopkinsmedicine.org
  • Direct secure messaging: edmund.funai@hca4.eclinicaldirectplus.com

Organizations & group practices 10

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": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1720061880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 917770",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328917770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9332 STATE ROAD 54 STE 407",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346551810",
            "telephone_number": "727-375-7295",
            "fax_number": "727-375-7194"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "704 S Webster Ave Ste 110",
            "address_purpose": "LOCATION",
            "city": "Green Bay",
            "state": "WI",
            "postal_code": "543013528",
            "country_code": "US",
            "telephone_number": "920-338-6868",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FUNAI",
        "first_name": "EDMUND",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "WI",
            "license": "13898-320",
            "primary": true
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "CT",
            "license": "040482",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "FL",
            "license": "ME126203",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "OH",
            "license": "35.098393",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1720061880",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "RI2OX",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016569000",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "EDMUND.FUNAI@hca4.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "9332 State Road 54 Ste 407",
            "city": "Trinity",
            "state": "FL",
            "country_code": "US",
            "postal_code": "346551810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Trinity, FL

Sources for this page

Verify at the official NPI Registry.