Individual provider Active NPI

Prem Kumar Lund, PA

  • Physician Assistant
  • Miami, FL
National Provider Identifier
1962743518
Registry record updated Mar 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9107126 Issued in FL
Practice address
13168 SW 143Rd Ter
Miami, FL 33186-8399
Phone
(786) 270-7180
NPI assigned
Mar 6, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9107126 FL Primary

Addresses

Primary practice location

13168 SW 143Rd Ter
Miami, FL 33186-8399

Mailing address

13168 SW 143Rd Ter
Miami, FL 33186-8399
Phone (786) 270-7180

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151103002248 FL Practitioner - Physician Assistant 9133439136 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Outpatient Services IncGroup PAC ID 6002807385, 198 clinicians
Aaa Urgent Care LLCGroup PAC ID 3274982913, 6 clinicians

Practice addresses (Care Compare)

15721 SW 152ND St
Baptist Health Urgent Care Express at Count
Miami, FL 33187-5417
Phone (786) 595-3710

240 Crandon Blvd
Suite 110
Key Biscayne, FL 33149-1543
Phone (786) 595-8250

5673 Coral Ridge Dr
Coral Springs, FL 33076-3124
Phone (954) 837-1480

6264 W Sample Rd
Coral Springs, FL 33067-3273

8229 NW 88TH Ave
Tamarac, FL 33321-1541
Phone (908) 967-9120

8725 SW 136TH St
Miami, FL 33176-5814

8950 N Kendall Dr
Miami, FL 33176-2144
Phone (786) 596-7200

Merit-based Incentive Payment System (MIPS)

Final score
74.32 of 100Reported as group
Quality
41.6
Promoting interoperability
95
Improvement activities
40
Cost
76.98

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9107126FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Outpatient Services Inc CurrentSince Jul 21, 2020 Accepting new patients
Guidewell Sanitas I, LLC CurrentSince Feb 25, 2026 Accepting new patients

Locations

6264 W Sample Rd
Ste 120
Coral Springs, FL 33067
Phone (954) 837-1020

8950 N Kendall Dr
Fl 2
Miami, FL 33176
Phone (786) 596-7200

Organizations & group practices 4

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": "1362528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362528000000",
    "number": "1962743518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13168 SW 143RD TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331868399",
            "telephone_number": "786-270-7180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13168 SW 143RD TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331868399",
            "telephone_number": "786-270-7180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUND",
        "first_name": "PREM KUMAR",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-06",
        "last_updated": "2013-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9107126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.