1. Home
  2. Directory
  3. Florida
  4. Sebring
  5. Internal Medicine
  6. NPI Profile

SHIELD MEDICAL GROUP PLLC
NPI 1184125338
Internal Medicine in Sebring, FL

Active since February 23, 2018CLIA 10D2276625 · Waiver
4597 CASABLANCA CIR, SEBRING, FL 33870(863) 236-9550(877) 832-3363 Get Directions Write a Review

NPPES record last updated: April 6, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 6, 2022, Mar 10, 2022, Oct 15, 2020 and 2 more (5 updates tracked since 2018).

About Shield Medical Group Pllc NPPES

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

SHIELD MEDICAL GROUP PLLC (NPI 1184125338) is a healthcare organization registered as an internal medicine in Sebring, Florida and active in the NPI registry since February 2018. The organization holds a CLIA Waiver certificate valid through February 12, 2027 and lists Kulmeet S Kundlas, President, as its authorized official.

NPPES Registry Identity

NPI1184125338
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSHIELD MEDICAL GROUP PLLC
Location Address4597 CASABLANCA CIRSebring, FL 33870-1206
Mailing AddressPo Box 919558Orlando, FL 32891-9558 · (863) 236-9550 · Fax (863) 236-9551
Phone(863) 236-9550
Fax(877) 832-3363
Organization SubpartNo
Authorized OfficialKulmeet S KundlasPresident · (863) 255-9595
Enumeration DateFebruary 23, 2018
Last NPPES UpdateApril 6, 20225 updates tracked since enumeration
NPPES CertifiedApril 6, 2022
✔ NPI 1184125338 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME73743
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4597 CASABLANCA CIR, Sebring, FL 33870
Open in Google Maps ↗

Other Identifiers 1

Medicaid252638700FL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shield Medical Group Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Shield Medical Group PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Carlos Baez Cubille, MD
General Practice
NPI 1225082068
4597 CASABLANCA CIR
Sebring, FL 33870
(863) 236-9550
✔ PECOS✔ Accepts MedicareSame address
Kulmeet Kundlas, M.D.
Internal Medicine
NPI 1336293497
4597 CASABLANCA CIR
Sebring, FL 33870
(863) 236-9550
✔ PECOS✔ Accepts MedicareSame address
Luis Rodriguez Gonzalez, MD
General Practice
NPI 1770504565
7747 W HILLSBOROUGH AVE
Tampa, FL 33615
(813) 603-4289
✔ PECOS72 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2276625

Shield Medical Group · Lake Wales, FL
Active · expires Feb 12, 2027
CLIA Number10D2276625
Laboratory TypePhysician Office
Certificate Effective DateFebruary 13, 2025
Certificate Expiration DateFebruary 12, 2027
Laboratory DirectorKulmeet Kundlas
Laboratory Phone(863) 236-9550
Laboratory LocationShield Medical Group23607 Us Hwy 27, Lake Wales, FL 33859
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Shield Medical Group PLLC's NPI number?

The NPI number for Shield Medical Group PLLC is 1184125338. It was assigned to this organization in the NPPES registry on February 23, 2018.

Where is Shield Medical Group PLLC located?

Shield Medical Group PLLC is located at 4597 Casablanca Cir, Sebring, FL 33870. The listed phone number is (863) 236-9550.

What is Shield Medical Group PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Shield Medical Group PLLC enrolled in Medicare?

Yes. Shield Medical Group PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Shield Medical Group PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Shield Medical Group PLLC, in General Practice and Internal Medicine. A 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 the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Shield Medical Group PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2276625) is associated with this NPI, valid through February 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Shield Medical Group PLLC accept?

Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare and 1 other insurer list Shield Medical Group PLLC 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.

When was this NPI record last updated?

The NPPES record for Shield Medical Group PLLC was last updated on April 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.