Ravi G Mirpuri (NPI# 1679856710, PAC ID# 1951619527) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL MEDICINE AND REHABILITATION.
| Nation Provider ID (NPI) | 1679856710 |
| PAC ID by PECOS | 1951619527 |
| Professional Enrollment ID | I20170614002505 |
| Full Name | Ravi G Mirpuri |
| Organization Legal Name | KORUNDA MEDICAL, LLC |
| Address |
4513 Executive Dr Korunda Pain Management Center Naples FL 34119-9033 |
| Phone Number | 2395912803 |
| Gender | M |
| Medical School | LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2011 |
| Primary Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| Group Practice PAC ID | 5092895334 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100286 | PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE |
| 100018 | NAPLES COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 26741 Dublin Woods Cir, Korunda Pain Management Center, Bonita Springs, FL 34135-7272 | 2394616464 | KORUNDA MEDICAL, LLC |
| 4513 Executive Dr, Korunda Pain Management Center, Naples, FL 34119-9033 | 2395912803 | KORUNDA MEDICAL, LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | KORUNDA MEDICAL, LLC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sheldon Kee Cho | Interventional Pain Management | Korunda Medical, LLC | 14131 Metropolis Ave, Fort Myers, FL 33912-4455 |
| Nena Korunda | Internal Medicine | Korunda Medical, LLC | 4513 Executive Dr, Korunda Pain Management Center, Naples, FL 34119-9033 |
| Zdenko Korunda | Interventional Pain Management | Korunda Medical, LLC | 661 Goodlette Frank Rd, Naples, FL 34102-5609 |
| Brian Thomas Cannon | Family Medicine | Korunda Medical, LLC | 4513 Executive Dr, Korunda Pain Management Center, Naples, FL 34119-9033 |
| Michael Alexander Silva | Interventional Pain Management | Korunda Medical, LLC | 661 Goodlette Frank Rd, Naples, FL 34102-5609 |
| Nicolas Perez | Physical Medicine and Rehabilitation | Korunda Medical, LLC | 4513 Executive Dr, Korunda Pain Management Center, Naples, FL 34119-9033 |
| Scott Fuchs | Interventional Pain Management | Korunda Medical, LLC | 4513 Executive Dr, Korunda Pain Management Center, Naples, FL 34119-9033 |
| Street Address |
4513 EXECUTIVE DR KORUNDA PAIN MANAGEMENT CENTER |
| City | NAPLES |
| State | FL |
| Zip | 34119-9033 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nena Korunda | Internal Medicine | Korunda Medical, LLC | 4513 Executive Dr, Korunda Pain Management Center, Naples, FL 34119-9033 |
| Brian Thomas Cannon | Family Medicine | Korunda Medical, LLC | 4513 Executive Dr, Korunda Pain Management Center, Naples, FL 34119-9033 |
| Nicolas Perez | Physical Medicine and Rehabilitation | Korunda Medical, LLC | 4513 Executive Dr, Korunda Pain Management Center, Naples, FL 34119-9033 |
| Scott Fuchs | Interventional Pain Management | Korunda Medical, LLC | 4513 Executive Dr, Korunda Pain Management Center, Naples, FL 34119-9033 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brooke A Austin | Podiatry | Gulfcoast Foot and Ankle Specialists LLC | 6101 Pine Ridge Rd, Fl 3, Naples, FL 34119-3900 |
| Ida M Mazzone | Internal Medicine | 6101 Pine Ridge Rd, Naples, FL 34119-3900 | |
| Deborah Cooper | Anesthesiology | American Anesthesiology Services of Florida Inc | 6101 Pine Ridge Rd, Naples, FL 34119-3900 |
| Christopher W Criswell | Certified Registered Nurse Anesthetist (crna) | American Anesthesiology Services of Florida Inc | 6101 Pine Ridge Rd, Naples, FL 34119-3900 |
| Chad J. Purdom | Anesthesiology | American Anesthesiology Services of Florida Inc | 6101 Pine Ridge Rd, Naples, FL 34119-3900 |
| John N Trobaugh | Anesthesiology | American Anesthesiology Services of Florida Inc | 6101 Pine Ridge Rd, Naples, FL 34119-3900 |
| Samantha A Thomas | Certified Registered Nurse Anesthetist (crna) | American Anesthesiology Services of Florida Inc | 6101 Pine Ridge Rd, Naples, FL 34119-3900 |
| Matthew J Palicka | Nurse Practitioner | Naples Heart Rhythm Specialists Pa | 6101 Pine Ridge Rd, Naples, FL 34119-3900 |
| Manuel B Jimenez Rodriguez | Internal Medicine | Collier Hma Physician Management LLC | 6101 Pine Ridge Rd, Naples, FL 34119-3900 |
| Carrie L Daugherty | Certified Registered Nurse Anesthetist (crna) | American Anesthesiology Services of Florida Inc | 6101 Pine Ridge Rd, Naples, FL 34119-3900 |
| Find all physicians in zip 34119 | |||
| City | NAPLES |
| Zip Code | 34119 |
| Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| City + Specialty | NAPLES + PHYSICAL MEDICINE AND REHABILITATION |
Please comment or provide details below to improve the information on Ravi G Mirpuri.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.