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MR. RYAN GRAHAM BUNDENTHAL CRNA
NPI 1124382577
Nurse Anesthetist, Certified Registered in Orlando, FL

Active since June 30, 2012PECOS EnrolledAccepts Medicare Assignment
80.25/100
CMS Quality Rating
601 E ROLLINS ST, ORLANDO, FL 32803(407) 667-0444 Get Directions Write a Review

NPPES record last updated: February 14, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 14, 2025, Jun 5, 2020 (2 updates tracked since 2020).

About Mr. Ryan Graham Bundenthal Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. RYAN GRAHAM BUNDENTHAL CRNA (NPI 1124382577) is an individual nurse anesthetist, certified registered in Orlando, Florida, licensed in Florida (APRN9464975) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Daytona Beach, and maintains a secondary practice location in Lebanon.

NPPES Registry Identity

NPI1124382577
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMR. RYAN GRAHAM BUNDENTHALCredential: CRNA
Location Address601 E ROLLINS STOrlando, FL 32803-1248
Mailing Address851 Trafalgar Ct Ste 200eMaitland, FL 32751-7420 · (407) 667-0444 · Fax (407) 667-4338
Phone(407) 667-0444
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJune 30, 2012
Last NPPES UpdateFebruary 14, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 14, 2025
✔ NPI 1124382577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Licenses✔ Licensed in FL · APRN9464975✔ Licensed in NH · EL32193
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License 333051 (OH)
601 E ROLLINS ST, Orlando, FL 32803
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Secondary Practice Location 1

Location 11 Medical Center DrLebanon, NH 03756-0001 · Phone (603) 650-5000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Ryan Graham Bundenthal Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9335399336
PECOS Enrollment IDI20180220002007, I20250224000477
Eligible to Order & Refer✔ Part B Labs & Imaging– Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

6

Medicare enrollment records show Ryan Bundenthal reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Amsurg Citrus Anesthesia LLC
4.3 mi
Anesthesiology
2861 S DELANEY AVE STE B
Orlando, FL 32806
  • Reassigned Medicare billing, Florida enrollment
  • 79 clinicians in this Medicare group
NPI 1255774212 (407) 472-5095
Us Anesthesia Partners Of Florida Inc.
4.5 mi
Anesthesiology
851 TRAFALGAR CT, SUITE 200E
Maitland, FL 32751
  • Reassigned Medicare billing, Florida enrollment
  • 2,356 clinicians in this Medicare group
NPI 1518910520 (321) 422-7155
Amsurg Altamonte Springs Anesthesia, LLC
5.3 mi
Anesthesiology
623 MAITLAND AVE, SUITE 1100
Altamonte Springs, FL 32701
  • Reassigned Medicare billing, Florida enrollment
  • 35 clinicians in this Medicare group
NPI 1306187513 (407) 478-0871
Florida Hospital Healthcare Partners, Inc
49 mi
Internal Medicine
301 MEMORIAL MEDICAL PKWY
Daytona Beach, FL 32117
  • Reassigned Medicare billing, Florida enrollment
  • 733 clinicians in this Medicare group
NPI 1780100529 (386) 231-6000
Dartmouth-Hitchcock Clinic
1,112 mi
Rehabilitation, Substance Use Disorder
24 RAILROAD ST
Keene, NH 03431
  • Reassigned Medicare billing, New Hampshire enrollment
  • 2,999 clinicians in this Medicare group
NPI 1174176861 (603) 354-5400
Mary Hitchcock Memorial Hospital
1,139 mi
Psychiatric Hospital
218 EAST RD
Hampstead, NH 03841
  • Reassigned Medicare billing, New Hampshire enrollment
  • 2,620 clinicians in this Medicare group
NPI 1699584219 (603) 650-5000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Adventhealth Daytona Beach

Acute Care Hospitals · Daytona Beach, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100068
Location301 Memorial Medical ParkwayDaytona Beach, FL 32117 · Volusia County
Emergency services Birthing friendly

Mary Hitchcock Memorial Hospital

Acute Care Hospitals · Lebanon, NH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300003
Location1 Medical Center DriveLebanon, NH 03756 · Grafton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32803 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.44
Improvement Activities40
Cost64.53

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. ELIZABETH BONET CNM
Advanced Practice Midwife
601 E ROLLINS ST
ORLANDO, FL 32803
Orange County (407) 975-0406
ROLA ALTOOS MD
Radiology (Diagnostic Radiology)
601 E ROLLINS ST
ORLANDO, FL 32803
Orange County (407) 200-2355
ALBAGIR MOHAMED ALARABI M.D
Internal Medicine
601 E ROLLINS ST
ORLANDO, FL 32803
Orange County (407) 303-5600
DR. LYNN CHRISTINE PALMERI M.D.
Pediatrics (Neonatal-Perinatal Medicine)
601 E ROLLINS ST
ORLANDO, FL 32803
Orange County (407) 303-2528
DANIELLE LARSON CRNA
Nurse Anesthetist, Certified Registered
601 E ROLLINS ST
ORLANDO, FL 32803
Orange County (407) 667-0444
LANDON LICHTMAN M.D.
Emergency Medicine
601 E ROLLINS ST
ORLANDO, FL 32803
Orange County (407) 303-1940
ZAIN ZAMIR MD
Hospitalist
601 E ROLLINS ST
ORLANDO, FL 32803
Orange County (407) 652-7040
ANDREA CARSON
Pharmacist
601 E ROLLINS ST
ORLANDO, FL 32803
Orange County (941) 875-2033

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ryan Bundenthal's NPI number?

The NPI number for Ryan Bundenthal is 1124382577. It was assigned to this individual provider in the NPPES registry on June 30, 2012.

Where is Ryan Bundenthal located?

Ryan Bundenthal practices at 601 E Rollins St, Orlando, FL 32803. The listed phone number is (407) 667-0444.

What is Ryan Bundenthal's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Ryan Bundenthal enrolled in Medicare?

Yes. Ryan Bundenthal is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Ryan Bundenthal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ryan Bundenthal reassigns Medicare benefits to 6 organizations: Amsurg Citrus Anesthesia LLC (Orlando, FL), Us Anesthesia Partners Of Florida Inc. (Maitland, FL), Amsurg Altamonte Springs Anesthesia, LLC (Altamonte Springs, FL), Florida Hospital Healthcare Partners, Inc (Daytona Beach, FL), Dartmouth-Hitchcock Clinic (Keene, NH) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ryan Bundenthal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ryan Bundenthal accept?

Health plans from Ambetter from NH Healthy Families list Ryan Bundenthal as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Ryan Bundenthal affiliated with any hospitals?

According to CMS data, Ryan Bundenthal is affiliated with Adventhealth Daytona Beach and Mary Hitchcock Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Ryan Bundenthal was last updated on February 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.