MR. RYAN GRAHAM BUNDENTHAL (CRNA) – Certified Registered Nurse Anesthetist, NPI 1124382577

MR. RYAN GRAHAM BUNDENTHAL (CRNA) is a healthcare provider. based in Maitland, Florida. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 333051 (OH). The NPI Number for MR. RYAN GRAHAM BUNDENTHAL (CRNA) is 1124382577

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
MR. RYAN GRAHAM BUNDENTHAL (CRNA)
NPI
1124382577
Phone
(407) 667-0444
Address
851 TRAFALGAR CT STE 200E
Enumeration Date
30 June 2012
Last Update Date
14 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3862316000
Graduation Year
2012 (14 years ago)
PAC ID
9335399336
Group Practice PAC ID
7012266836
Professional Enrollment ID
I20180220002007
Address ID
FL321175167DA301XXPKWY400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:13State licenses:3Digital endpointsOther names

471 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in NH

Provider Addresses for MR. RYAN GRAHAM BUNDENTHAL (CRNA)

  • 851 TRAFALGAR CT STE 200E

    MAITLAND, FL 327517420

    Phone: (407) 667-0444

    Fax: (407) 667-4338

    Type: Mailing

  • 1 Medical Center Dr

    Lebanon, NH 037560001

    Phone: (603) 650-5000

    Type: Location

  • 601 E ROLLINS ST

    ORLANDO, FL 328031248

    Phone: (407) 667-0444

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $592.

Total Amount is formed as General ($592) + Research ($0) + Ownership ($0) = $592.

Last reported payment date: 2024-10-03 • Largest payer in this snapshot: Fisher & Paykel Healthcare Inc ($222).

Total Amount

$592

General + Research + Ownership

Payments

13

Total payment records

General Amount

$592

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-03

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-02-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180220002007ICertified Registered Nurse Anesthetist (Crna)FLTBD
I20250224000477ICertified Registered Nurse Anesthetist (Crna)NHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32751)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7012266836View full group profile
NameSpecialtyState
-FL
U R O L O G YFL
G A S T R O E N T E R O L O G YFL
Thoracic SurgeryFL
Nurse PractitionerGA
Internal MedicineNY
General SurgeryFL
Pulmonary Disease, Critical Care (Intensivists), Sleep MedicineFL
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology)FL
Certified Registered Nurse Anesthetist (Crna)FL

Reviews

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Frequently asked questions

Is there an official ID for MR. RYAN GRAHAM BUNDENTHAL (CRNA) in U.S. healthcare records?
The official identifier for MR. RYAN GRAHAM BUNDENTHAL (CRNA) is NPI 1124382577.
Would MR. RYAN GRAHAM BUNDENTHAL (CRNA) appear as active to a payer?
You can treat MR. RYAN GRAHAM BUNDENTHAL (CRNA) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with MR. RYAN GRAHAM BUNDENTHAL (CRNA)?
MR. RYAN GRAHAM BUNDENTHAL (CRNA)'s record emphasizes Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What locale is associated with MR. RYAN GRAHAM BUNDENTHAL (CRNA)?
Directory geography for MR. RYAN GRAHAM BUNDENTHAL (CRNA) centers on Maitland, Florida.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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