Individual provider Active NPI

Jagmeet S Mundi, M.D.

  • Specialist
  • Mission Viejo, CA
National Provider Identifier
1003079062
Registry record updated Aug 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A107865 Issued in CA
Practice address
26726 Crown Valley Pkwy
#200
Mission Viejo, CA 92691-8003
Phone
(949) 364-4361
Fax
(949) 364-4495
NPI assigned
Jul 9, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X A107865 CA
Otolaryngology Physician 207Y00000X 264655 NY
Specialist 174400000X A107865 CA Primary

Addresses

Primary practice location

26726 Crown Valley Pkwy
#200
Mission Viejo, CA 92691-8003

Mailing address

26726 Crown Valley Pkwy
#200
Mission Viejo, CA 92691-8003
Phone (949) 364-4361

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130828000472 CA Practitioner - Otolaryngology 3072761808 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Northwestern University Feinberg Medical School, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Head and Neck Associates of Orange County an IncorprateGroup PAC ID 0547211518, 16 clinicians

Practice addresses (Care Compare)

24411 Health Ctr Dr
Suite 370
Laguna Hills, CA 92653-3687
Phone (949) 364-4361

Hospital & facility affiliations

  • Providence Mission Hospital Hospital, Mission Viejo, CA, CCN 050567
  • Hoag Memorial Hospital Presbyterian Hospital, Newport Beach, CA, CCN 050224

Merit-based Incentive Payment System (MIPS)

Final score
50 of 100Reported as individual
Quality
0
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Associates of Nyeei, LLC Specialist CurrentSince Aug 1, 2012 Accepting new patients
Head and Neck Associates of Orange County an Incorprate Specialist CurrentSince Sep 2, 2013 Accepting new patients
Mission Hospital Regional Medical Center Past Accepting new patients

Locations

1640 Newport Blvd
Ste 350
Costa Mesa, CA 92627
Phone (949) 276-4008

18 Endeavor
Ste 208
Irvine, CA 92618
Phone (949) 276-4008

24411 Health Center Dr
Ste 370
Laguna Hills, CA 92653
Phone (949) 276-4008

26726 Crown Valley Pkwy
Ste 200
Mission Viejo, CA 92691
Phone (949) 264-4361

310 E 14th St
#1
New York, NY 10003

200 W 57th St
Ste 1410
New York, NY 10019
Phone (212) 247-8100

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: jagmeet.mundi.p19@direct.monarchhealthcare.nextgenshare.com
  • Direct secure messaging: jmundi888473@oc.providencedirect.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377129600000",
    "number": "1003079062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26726 CROWN VALLEY PKWY",
            "address_2": "#200",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926918003",
            "telephone_number": "949-364-4361",
            "fax_number": "949-364-4495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26726 CROWN VALLEY PKWY",
            "address_2": "#200",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926918003",
            "telephone_number": "949-364-4361",
            "fax_number": "949-364-4495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNDI",
        "first_name": "JAGMEET",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-09",
        "last_updated": "2013-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "A107865",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NY",
            "license": "264655",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A107865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

Verify at the official NPI Registry.