Carl V Bundschuh, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

ME83220 Issued in FL

Practice address

145 Mar Len Dr
Melbourne Beach, FL 32951-3122

Phone

(952) 595-1100

Fax

(612) 294-4903

NPI assigned

Apr 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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

Specialty

Diagnostic RadiologyAlso: Neurology

Education

State University of New York at Buffalo School of Medicine, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

First Meridian Medical LLCGroup PAC ID 5092766352, 17 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

34.03 of 100Reported as group

Quality

22.39

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• First Meridian Medical LLC

  • Specialist
  • Virginia Beach, VA
  • NPI 1194176149
  Medicare reassignment Care Compare group NPD
• Chesapeake Diagnostic Imaging Centers, LLC

  • Diagnostic Radiology Physician
  • Chesapeake, VA
  • NPI 1922056241
  Medicare reassignment NPD
• Chesapeake Diagnostic Imaging Centers, LLC

  • Diagnostic Radiology Physician
  • Chesapeake, VA
  • NPI 1174851711
  NPD
• First Meridian Medical LLC

  • Diagnostic Radiology Physician
  • Chesapeake, VA
  • NPI 1881677425
  NPD
• Medical Center Radiologists Inc

  • Diagnostic Radiology Physician
  • Norfolk, VA
  • NPI 1720079254
  NPD (past)

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376438400000",
    "number": "1013979699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11995 SINGLETREE LN",
            "address_2": "SUITE 500",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553445347",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 MAR LEN DR",
            "city": "MELBOURNE BEACH",
            "state": "FL",
            "postal_code": "329513122",
            "telephone_number": "952-595-1100",
            "fax_number": "612-294-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNDSCHUH",
        "first_name": "CARL",
        "middle_name": "V",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2013-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101039192",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME83220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beachnspeech
• Kara Beres, LMHC
• Nicole Bladin, ARNP
• Joseph E Bonar, PT
• Brett C Reynolds OD PA
• Jimmie Dean Canole
• Benita Carson
• Collins & Montz, D.M.D., P.a.
• James Hunter Collins, D.M.D.
• Rachel Lynn Crawford

• Diagnostic Radiology Physician in Melbourne Beach, FL
• Providers in Melbourne Beach, FL by specialty
• Diagnostic Radiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.