DR. LORI-ANNE TUNGPALAN-GRONDOLSKY (MD) – Anesthesiology Physician, NPI 1699887810
Anesthesiology Physician
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NPPES metrics only — not quality of care.
969 ANESTHESIOLOGY in MN
Provider Addresses for DR. LORI-ANNE TUNGPALAN-GRONDOLSKY (MD)
2550 University Ave W Ste 423
Saint Paul, MN 551141052
Phone: (612) 871-1145
Fax: (612) 870-5491
Type: Location
The Queen's Medical Center, 1301, Punchbowl Street, Downtown, Hawaii Capital Historic District, Honolulu, Honolulu County, Hawaii, 96813, United States
HONOLULU, HI 968132402
Phone: (419) 230-7480
Type: Location
Honolulu Tower, Tanglin, Central Region, Singapore
HONOLULU, HI 968022997
Phone: (419) 230-7480
Type: Mailing
272 HOSPITAL RD
CHILLICOTHE, OH 456019031
Phone: (740) 779-7540
Type: Mailing
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: 2004-11-01
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
1
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 |
|---|---|---|---|---|
| I20041101000475 | I | Anesthesiology | OH | 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.
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 55114)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | OH | |
| - | OH | |
| Physician Assistant | OH | |
| O T O L A R Y N G O L O G Y | OH | |
| Certified Nurse Midwife (Cnm) | OH | |
| Family Practice | OH | |
| Thoracic Surgery | OH | |
| Gastroenterology, Internal Medicine | OH | |
| Physician Assistant | OH | |
| Certified Registered Nurse Anesthetist (Crna) | OH |
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