Prabhakara Kunamneni, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

ME101637 Issued in FL

Practice address

1825 Salk Ave
Tavares, FL 32778-4311

Phone

(352) 343-1158

Fax

(352) 343-8106

NPI assigned

Jun 12, 2006

Last updated

Apr 22, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Interventional CardiologyAlso: Cardiovascular Disease (Cardiology), Internal Medicine, Peripheral Vascular Disease

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cardiovascular Institute of Central Florida LLCGroup PAC ID 2769587146, 67 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventhealth Waterman Hospital, Tavares, FL, CCN 100057
• Adventhealth Daytona Beach Hospital, Daytona Beach, FL, CCN 100068
• Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

Merit-based Incentive Payment System (MIPS)

Final score

89.88 of 100Reported as group

Quality

70.72

Promoting interoperability

96

Improvement activities

40

Cost

84.75

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/ICFCBA/Endpoint/ICFCBA
• Direct secure messaging: pkunamneni562632@direct.shands.ufl.edu
• Direct secure messaging: prabhakara.kunamneni.1@29679.direct.athenahealth.com

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.

• Cardiovascular Institute of Central Florida, LLC

  • Specialist
  • Ocala, FL
  • NPI 1679666598
  Medicare reassignment Care Compare group NPD
• Central Florida Cardiology & Vascular Center LLC

  • Cardiovascular Disease Physician
  • Tavares, FL
  • NPI 1225332075
  Medicare reassignment NPD Authorized official
• Cvi Ambulatory Surgery Center LLC

  dba Sugery Center of Central Florida

  • Ambulatory Surgical Clinic/Center
  • Ocala, FL
  • NPI 1942884457
  Medicare reassignment NPD
• Florida Hospital Healthcare Partners, Inc

  • Internal Medicine Physician
  • Daytona Beach, FL
  • NPI 1780100529
  Medicare reassignment NPD
• Cardiovascular Institute of Central Florida, LLC

  dba CVI Cardiac Rehab Center

  • Cardiac Rehabilitation Clinic/Center
  • Ocala, FL
  • NPI 1457166571

  Cardiovascular Disease

  NPD
• Heart Associates PA

  • Cardiovascular Disease Physician
  • Crystal River, FL
  • NPI 1770539173
  NPD (past)
• Institute of Cardiovascular Excellence PLLC

  • Cardiovascular Disease Physician
  • Ocala, FL
  • NPI 1295975803
  NPD (past)

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

• Adventist Health System-Sunbelt, Inc

  dba AdventHealth Orlando

  • General Acute Care Hospital
  • Orlando, FL
  • NPI 1306938071
  Care Compare affiliation
• Adventist Health System-Sunbelt, Inc

  dba AdventHealth Orlando Outreach Laboratory

  • Clinical Medical Laboratory
  • Orlando, FL
  • NPI 1801569728

  Hospital

  Care Compare affiliation
• Florida Hospital Waterman Inc

  dba AdventHealth Waterman

  • General Acute Care Hospital
  • Tavares, FL
  • NPI 1821019571
  Care Compare affiliation
• Memorial Health Systems Inc

  dba AdventHealth Daytona Beach

  • General Acute Care Hospital
  • Daytona Beach, FL
  • NPI 1063426823
  Care Compare affiliation
• Memorial Health Systems Inc

  dba AdventHealth Daytona Beach

  • Clinical Medical Laboratory
  • Daytona Beach, FL
  • NPI 1104696178

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650585600000",
    "number": "1972545093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1289",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327781289",
            "telephone_number": "352-343-1158",
            "fax_number": "352-343-8106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 SALK AVE",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327784311",
            "telephone_number": "352-343-1158",
            "fax_number": "352-343-8106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNAMNENI",
        "first_name": "PRABHAKARA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "223231",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME101637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001219100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wendy J Krauss, MS
• Megan M Kriebel, LMHC
• Rama Kantamneni Krishna, MD
• Theresa Dolores Kritzman, CNA231468/HHA/BLS
• Vikas Kumar, MD
• Kenneth M Kupke, M.D.
• Danielle Helene Labossiere
• Robert William Ladley, DMD
• Lake Allergy, Asthma and Immunology, PA
• Lake Anesthesia Care LLC

• Cardiovascular Disease Physician in Tavares, FL
• Providers in Tavares, FL by specialty
• Cardiovascular Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.
• 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.