Active NPI
William M Mundy, MD
- Hospitalist Physician
- Berkeley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- A105911
- Practice address
- 2450 Ashby Ave RM 5505
Berkeley, CA 94705-2067 - Phone
- (510) 204-4444
- Fax
- (510) 649-8287
- NPI assigned
- Jun 5, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A105911 | CA | |
| Hospitalist Physician | 208M00000X | A105911 | CA | Primary |
Addresses
Primary practice location
2450 Ashby Ave RM 5505
Berkeley, CA 94705-2067
Mailing address
3687 Mt Diablo Blvd Ste 200
Lafayette, CA 94549-3746
Phone (916) 854-6975
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A105911 | Other | CA | STATE LICENSE |
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Medical College of Ohio, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
250 Bon Air Rd
Greenbrae, CA 94904-1702
Phone (415) 925-7000
5176 Hill Rd E
Lakeport, CA 95453-6300
Phone (925) 634-9704
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.4 of 100
- Quality
- 65.6
- Improvement activities
- 40
- Cost
- 71.06
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A105911 | CA | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Galen Inpatient Physicians, PC | Hospitalist | Current | Accepting new patients |
| Marin Hospitalist Medical Group, Inc. | Current | Accepting new patients | |
| Galen Inpatient Physicians PC | Hospitalist | Current | Accepting new patients |
| Farallon Inpatient Medical Group Inc | Current | Accepting new patients | |
| Galen Inpatient Physicians PC | Hospitalist | Current | Accepting new patients |
| Orthopedic Trauma Services LTD | Past | Accepting new patients | |
| San Francisco Emergency Medical Associates | Past | Accepting new patients |
Locations
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
250 Bon Air Rd
Rm 3209
Greenbrae, CA 94904
Phone (415) 925-7545
250 Bon Air Rd
Kentfield, CA 94904
Phone (415) 464-1350
5176 Hill Rd E
Lakeport, CA 95453
Phone (707) 262-5000
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
15248 Eleventh St
Victorville, CA 92395
Phone (760) 245-8691
Interoperability endpoints
- wmundy40235@hisp.ehr.sutterhealth.org
- wmundy266893@direct-ucsfmedicalcenter.org
Organizations & group practices 7
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.
-
dba Farallon Medical Group
- Emergency Medicine Physician
- Lakeport, CA
- NPI 1417441080
-
- Hospitalist Physician
- Manteca, CA
- NPI 1689320459
-
- Internal Medicine Physician
- Greenbrae, CA
- NPI 1023041753
-
- Hospitalist Physician
- Los Angeles, CA
- NPI 1205787686
-
- Hospitalist Physician
- Greenbrae, CA
- NPI 1841037850
-
- Emergency Medicine Physician
- San Francisco, CA
- NPI 1134110661
-
dba Orthopaedic Trauma Reconstructive Surgery
- Orthopaedic Surgery Physician
- Columbus, OH
- NPI 1285622688
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Greenbrae, CA
- NPI 1396725677
-
- Critical Access Hospital
- Lakeport, CA
- NPI 1952634008
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1336341825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3687 MT DIABLO BLVD STE 200",
"city": "LAFAYETTE",
"state": "CA",
"postal_code": "945493746",
"telephone_number": "916-854-6975",
"fax_number": "916-854-6844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2450 ASHBY AVE RM 5505",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947052067",
"telephone_number": "510-204-4444",
"fax_number": "510-649-8287"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUNDY",
"first_name": "WILLIAM",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-05",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A105911",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "CA",
"license": "A105911",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "A105911",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Berkeley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.