OMAR FUNDORA CRNA
NPI 1699704239
Nurse Anesthetist, Certified Registered in Hialeah, FL

Q: What is Omar Fundora's NPI number?

The NPI number for Omar Fundora is 1699704239. It was assigned to this individual provider in the NPPES registry on July 3, 2006.

Q: What is Omar Fundora's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Omar Fundora was last updated on May 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since July 03, 2006Accepts Medicare Assignment

2001 W 68TH ST, HIALEAH, FL 33016(786) 478-9397 Get Directions Write a Review

NPPES record last updated: May 28, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Omar Fundora Crna NPPES

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

OMAR FUNDORA CRNA (NPI 1699704239) is an individual nurse anesthetist, certified registered in Hialeah, Florida, licensed in Florida (ARNP 9170887) and active in the NPI registry since July 2006. He is a graduate of Other (2006).

NPPES Registry Identity

NPI1699704239

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameOMAR FUNDORACredential: CRNA

Location Address2001 W 68TH STHialeah, FL 33016-1801

Mailing Address4744 Sw 195th WayMiramar, FL 33029-6203

Phone(786) 478-9397

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateJuly 3, 2006

Last NPPES UpdateMay 28, 2015

✔ NPI 1699704239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in FL · ARNP 9170887

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.

2001 W 68TH ST, Hialeah, FL 33016

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida.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

Omar Fundora 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 ID5597867606

PECOS Enrollment IDI20070220000693

Medicare Billing Reassignments

Medicare enrollment records show Omar Fundora reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Complete Medical Management, LLC.

2.4 mi

Hospitalist

6600 COW PEN RD STE 205
Miami Lakes, FL 33014

Reassigned Medicare billing, Florida enrollment
102 clinicians in this Medicare group

NPI 1831796051 (305) 223-0068

Nova Medical Services - Anesthesiology Division LLC

8.0 mi

Anesthesiology

8260 W FLAGLER ST STE 1A
Miami, FL 33144

Reassigned Medicare billing, Florida enrollment
96 clinicians in this Medicare group

NPI 1245043835 (786) 715-9183

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33016 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

$141.56 typical visit price

range $60.92 – $187.05

Typical copayment $35.39 (range $15.23 – $46.76)

Most-billed visit code 99204

Established Patient

$75.86 typical visit price

range $18.99 – $150.24

Typical copayment $18.96 (range $4.74 – $37.56)

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.

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.

STEWARD PGH, INC.

Psychiatric Hospital