Active NPI
Charles Mundy, MD
- Internal Medicine Physician
- Fredericksburg, VA
National Provider Identifier
1245309558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0101012145
- Practice address
- 12000 Kennedy LN
Fredericksburg, VA 22407-6016 - Phone
- (540) 741-7100
- Fax
- (540) 741-7103
- NPI assigned
- Nov 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0101012145 | VA | Primary |
Addresses
Primary practice location
12000 Kennedy LN
Fredericksburg, VA 22407-6016
Mailing address
12000 Kennedy LN
Fredericksburg, VA 22407-6016
Phone (540) 741-7100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mary Washington Healthcare Specialty Services LLC | Past | Accepting new patients | |
| Rappahannock Neurosurgery Associates, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Anesthesiology Physician
- Fredericksburg, VA
- NPI 1821033010
-
- Neurological Surgery Physician
- Fredericksburg, VA
- NPI 1366477234
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1245309558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12000 KENNEDY LN",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224076016",
"telephone_number": "540-741-7100",
"fax_number": "540-741-7103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12000 KENNEDY LN",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224076016",
"telephone_number": "540-741-7100",
"fax_number": "540-741-7103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUNDY",
"first_name": "CHARLES",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101012145",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fredericksburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.