Raymond William Kordonowy, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME0060336 Issued in FL

Practice address

6160 Winkler Rd
Fort Myers, FL 33919-8179

Phone

(239) 362-3005

Fax

(239) 239-3662

NPI assigned

Jul 16, 2006

Last updated

Apr 1, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 1, 2018 through Jan 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648771200000",
    "number": "1851318646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6160 WINKLER RD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339198179",
            "telephone_number": "239-362-3005",
            "fax_number": "239-239-3662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6160 WINKLER RD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339198179",
            "telephone_number": "239-362-3005",
            "fax_number": "239-239-3662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORDONOWY",
        "first_name": "RAYMOND",
        "middle_name": "WILLIAM",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-16",
        "last_updated": "2022-04-01",
        "certification_date": "2022-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0060336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "raymond.kordonowy@56518507167748.direct.elationemr.com",
            "affiliation": "N",
            "endpointDescription": "Dr Kordonowy Elation Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6160 Winkler Rd",
            "city": "Fort Myers",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339198179",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Diana Constanza Kooper, M.D.
• Christopher F Kopp, M.D.
• Robert Walter Kopp II, MD
• Edna Koraya
• Holland Taylor Korbitz, DO
• Bryan Koronowski, PHARMD
• Robert George Kosek
• Bruk Loren Kosloske
• Adam Mitchell Koss, M.D.
• Lezlie Kotlyar

• Internal Medicine Physician in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2022; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.