Michael J Bunda, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

0101055720 Issued in VA

Practice address

4700 Puddledock Rd
400
Prince George, VA 23875-1268

Phone

(804) 458-1740

Fax

(804) 541-1846

NPI assigned

May 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 16

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in VA

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 1

Merit-based Incentive Payment System (MIPS)

Final score

84.6 of 100Reported as group

Quality

72.1

Promoting interoperability

100

Improvement activities

40

Cost

76.57

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Chippenham & Johnston-Willis Hospitals, Inc.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Richmond, VA
  • NPI 1366689747
  Medicare reassignment NPD
• Columbia/HCA John Randolph, Inc.

  • Cardiovascular Disease Physician
  • Hopewell, VA
  • NPI 1952762650
  Medicare reassignment NPD
• Virginia Cardiovascular Specialists

  • Cardiovascular Disease Physician
  • Richmond, VA
  • NPI 1215958657
  Medicare reassignment NPD
• Chippenham & Johnston-Willis Hospitals, Inc.

  • Electrodiagnostic Medicine Physician
  • Richmond, VA
  • NPI 1033596416
  NPD
• Virginia Cardiovascular Specialists

  • Ambulatory Surgical Clinic/Center
  • Henrico, VA
  • NPI 1124777321
  NPD

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604016000000",
    "number": "1912955451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8001 FRANKLIN FARMS DR",
            "address_2": "SUITE 130",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232295108",
            "telephone_number": "804-521-5800",
            "fax_number": "804-545-4340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 PUDDLEDOCK RD",
            "address_2": "400",
            "city": "PRINCE GEORGE",
            "state": "VA",
            "postal_code": "238751268",
            "telephone_number": "804-458-1740",
            "fax_number": "804-541-1846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNDA",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VA",
            "license": "0101055720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM/VA HEALTHKEEPERS",
            "identifier": "276263",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENTARA HEALTH/OPTIMA",
            "identifier": "44212",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA/US HEALTHCARE",
            "identifier": "5900505",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN HEALTH SERV",
            "identifier": "72343",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5807387",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "60045076",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM/VA HEALTHKEEPERS",
            "identifier": "276220",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM/VA HEALTHKEEPERS",
            "identifier": "276287",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM/VA HEALTHKEEPERS",
            "identifier": "103796",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "257162",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM/VA HEALTHKEEPERS",
            "identifier": "276186",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "85717",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM/VA HEALTHKEEPERS",
            "identifier": "271952",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA/US HEALTHCARE HMO",
            "identifier": "2001051",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BLACK LUNG",
            "identifier": "27413300",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM/VA HEALTHKEEPERS",
            "identifier": "276340",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mbunda@direct.vacardio.nextgenshare.com",
            "affiliation": "N",
            "address_1": "4700 Puddledock Rd",
            "address_2": "400",
            "city": "Prince George",
            "state": "VA",
            "country_code": "US",
            "postal_code": "238751268",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kadarnath Shammie Boodram, MD
• James William Bowles, M.D.
• Branbur Dialysis LLC
• Lesli Antoinette Brown, M.D.
• Melba Williams Bryant
• Mallory Taylor Cain, PA
• Caldwell Pediatrics and Wellness Center
• Melaney A Caldwell, MD
• Dolores Erika Cancino, LCSW-BACS
• Careatc

• Cardiovascular Disease Physician in Prince George, VA
• Providers in Prince George, VA by specialty
• Cardiovascular Disease Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2020; 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.
• 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.