Kanumuri Medical Group PA
NPI 1093761504 · Anesthesiology Physician · Lake Wales, FL
Kanumuri Medical Group PA is a Anesthesiology Physician organization in Lake Wales, FL (NPI 1093761504).
Provider details
- NPI number
- 1093761504
- Entity type
- Organization
- Primary specialty
- Anesthesiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Nageswararo Kanumuri, President/Physician(863) 402-0064
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-05-26
- Last updated
- 2007-10-18
Frequently asked questions
- What is Kanumuri Medical Group PA's NPI number?
- Kanumuri Medical Group PA's National Provider Identifier (NPI) is 1093761504, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kanumuri Medical Group PA?
- Kanumuri Medical Group PA is classified in the NPPES registry as Anesthesiology Physician (Allopathic & Osteopathic Physicians).
- Where is Kanumuri Medical Group PA located?
- Kanumuri Medical Group PA's practice location on file with NPPES is 410 S 11th St, Lake Wales, FL 33853-4203.
- What is Kanumuri Medical Group PA's phone number?
- The practice phone number listed in the NPPES registry for Kanumuri Medical Group PA is (863) 402-0064.
- Who is the authorized official for Kanumuri Medical Group PA?
- The authorized official listed on Kanumuri Medical Group PA's NPPES record is Nageswararo Kanumuri, President/Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kanumuri Medical Group PA's NPI active?
- Yes — Kanumuri Medical Group PA's NPI (1093761504) is active in the NPPES registry as of the last update on 2007-10-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.