Mary L Unanue, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G87924 Issued in CA

Practice address

5 Beverly Ridge Ter
Beverly Hills, CA 90210-1343

Phone

(818) 259-5099

NPI assigned

Jan 23, 2013

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Feb 26, 2024 through Feb 26, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1358899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358899200000",
    "number": "1295073468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 BEVERLY RIDGE TER",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902101343",
            "telephone_number": "818-259-5099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 BEVERLY RIDGE TER",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902101343",
            "telephone_number": "818-259-5099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNANUE",
        "first_name": "MARY",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-23",
        "last_updated": "2013-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G87924",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME54554",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yuliy Uglov, P.T.
• Igwe Ukoha, M.D.,
• Henry E. Ullman, M.D.
• Ultrasound Institute Medical Group
• Ultrasound Specialists LLC
• Under Pressure Hyperbarics Medical Corp
• Unicare Sleep Center Inc
• Unified Surgical Center LLC
• United Medical Radiology Network
• Unity Beverly Hills

• Internal Medicine Physician in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.