OMAR FUNDORA (CRNA) – Certified Registered Nurse Anesthetist, NPI 1699704239

Certified Registered Nurse Anesthetist

OMAR FUNDORA (CRNA) is a healthcare provider. based in Miramar, Florida. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. ARNP 9170887 (FL). The NPI Number for OMAR FUNDORA (CRNA) is 1699704239

Main info

Male

20 Years Of Experience

Accepts Medicare Assignment

Name

OMAR FUNDORA (CRNA)

NPI

1699704239

Phone

Not provided

Address

4744 SW 195TH WAY

Enumeration Date

3 July 2006

Last Update Date

28 May 2015

Doctor Profile

Medical School Name

OTHER

Secondary Phone

7867159183

Graduation Year

2006 (20 years ago)

PAC ID

5597867606

Group Practice PAC ID

4284156613

Professional Enrollment ID

I20070220000693

Address ID

FL331442069MI8260XSTXX408

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience52

Completeness75

Years active:19State licenses:1Digital endpointsOther names

5,359 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in FL

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Provider Addresses for OMAR FUNDORA (CRNA)

4744, Southwest 195th Way, Miramar, Broward County, Florida, 33029, United States
MIRAMAR, FL 330296203
Phone:
Type: Mailing
Palmetto General Hospital, 2001, West 68th Street, Hialeah, Miami-Dade County, Florida, 33015, United States
HIALEAH, FL 330161801
Phone: (786) 478-9397
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2007-02-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

Medicare enrolled
On CMS revalidation list
Due date assigned
Revalidate in PECOS

CMS enrollment records

Enrollment ID	Type	Specialty	State	Due date
I20070220000693	I	Certified Registered Nurse Anesthetist (Crna)	FL	TBD

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 33029)

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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: 4284156613View full group profile

Name	Specialty	State
MR. JULIO CESAR FIGUEROA (APRN)	Certified Registered Nurse Anesthetist (Crna)	FL
CHERYL A MINGO (CRNA)	Certified Registered Nurse Anesthetist (Crna)	FL
MRS. GIOVANNA LLANES (RN)	Certified Registered Nurse Anesthetist (Crna)	FL
LESTER GARCIA (M.D.)	A N E S T H E S I O L O G Y	FL
DR. WILLIAM A MCCLAIN (MD)	A N E S T H E S I O L O G Y	FL
RACHEL MATHEW	Certified Registered Nurse Anesthetist (Crna)	FL
MS. PRIYA PRATAP NAIR (RN)	Certified Registered Nurse Anesthetist (Crna)	FL
JASON M COHEN (CRNA)	Certified Registered Nurse Anesthetist (Crna)	FL
MICHELLE ROC	Certified Registered Nurse Anesthetist (Crna)	FL
AYLIN GONZALEZ (M.D.)	A N E S T H E S I O L O G Y	FL

Reviews

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Frequently asked questions

What is the 10-digit NPI for OMAR FUNDORA (CRNA)?

OMAR FUNDORA (CRNA) — NPI 1699704239 — is the standard way to identify this listing.

Is OMAR FUNDORA (CRNA) still practicing?

OMAR FUNDORA (CRNA) is currently listed as active in the public NPI registry.

What healthcare role does OMAR FUNDORA (CRNA) hold?

Scheduling teams often label OMAR FUNDORA (CRNA) under Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.

Where should I expect OMAR FUNDORA (CRNA) on a map?

Expect Miramar, Florida as a primary anchor for OMAR FUNDORA (CRNA) unless the record lists multiple sites.

Is the information about OMAR FUNDORA (CRNA) up to date?

Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."