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ADAM JOSEPH KUNDISHORA M.D.
NPI 1497103519
Student in an Organized Health Care Education/Training Program in New Haven, CT

Active since May 31, 2016PECOS Enrolled
789 HOWARD AVE, DEPT OF NEUROSURGERY, TMP 4TH FLOOR, NEW HAVEN, CT 06519(203) 785-2805 Get Directions Write a Review

NPPES record last updated: February 10, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Adam Joseph Kundishora M.d. NPPES

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

ADAM JOSEPH KUNDISHORA M.D. (NPI 1497103519) is an individual student in an organized health care education/training program in New Haven, Connecticut and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS and maintains a secondary practice location in Philadelphia.

NPPES Registry Identity

NPI1497103519
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameADAM JOSEPH KUNDISHORACredential: M.D.
Location Address789 HOWARD AVE, DEPT OF NEUROSURGERY, TMP 4TH FLOORNew Haven, CT 06519-1304
Mailing Address789 Howard Ave, Dept Of Neurosurgery, Tmp 4th FloorNew Haven, CT 06519-1304 · (203) 785-2805
Phone(203) 785-2805
Sole ProprietorYes
Enumeration DateMay 31, 2016
Last NPPES UpdateFebruary 10, 2023
NPPES CertifiedFebruary 10, 2023
✔ NPI 1497103519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedNeurological SurgeryTaxonomy 207T00000X · License MD469564 (PA)
789 HOWARD AVE, New Haven, CT 06519
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Secondary Practice Location 1

Location 13401 Civic Center BlvdPhiladelphia, PA 19104-4319 · Phone (267) 425-9538

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Adam Joseph Kundishora M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

CYRUS R KAPADIA MD
Internal Medicine (Gastroenterology)
789 HOWARD AVE, DANA BUILDING - 3RD FLOOR
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 785-4138
PEDRO JOSE GONZALEZ JIMENEZ
Pediatrics (Pediatric Emergency Medicine)
789 HOWARD AVE, YNHH PEDIATRICS
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 688-5555
DR. AMIT N VORA MD
Internal Medicine (Interventional Cardiology)
789 HOWARD AVE
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 785-7960
DEVIKA KIR MD
Internal Medicine (Interventional Cardiology)
789 HOWARD AVE, YNHH,
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 688-5555
LOUISE MARIE DEMBRY MD
Internal Medicine (Infectious Disease)
789 HOWARD AVE, DANA BUILDING - 3RD FLOOR
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 785-4629
PRIYANKA DEB M.D.
Radiology (Diagnostic Radiology)
789 HOWARD AVE, TOMPKINS EAST BUILDING ROOM 2-230
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 785-2385
MRS. KATHLEEN O'CONNOR FRAME ANP-C, WHNP-BC, APRN
Nurse Practitioner (Adult Health)
789 HOWARD AVE
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 688-5555
VIDHI PATEL
Pharmacist
789 HOWARD AVE
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (888) 461-0106

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 Adam Kundishora's NPI number?

The NPI number for Adam Kundishora is 1497103519. It was assigned to this individual provider in the NPPES registry on May 31, 2016.

Where is Adam Kundishora located?

Adam Kundishora practices at 789 Howard Ave Dept Of Neurosurgery, Tmp 4th Floor, New Haven, CT 06519. The listed phone number is (203) 785-2805.

What is Adam Kundishora's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Adam Kundishora enrolled in Medicare?

Yes. Adam Kundishora is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Adam Kundishora was last updated on February 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.