Individual provider Active NPI

William M Mundy, MD

  • Hospitalist Physician
  • Berkeley, CA
National Provider Identifier
1336341825
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
A105911 Issued in CA
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

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
A105911OtherCASTATE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090211000815 CA Practitioner - HospitalistPractitioner - Family Practice 3375641368 Reassigns benefits to 3 organizations

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
Galen Inpatient Physicians PCGroup PAC ID 3678464633, 1,045 clinicians
Farallon Inpatient Medical Group IncGroup PAC ID 2567715550, 9 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
A105911CAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Galen Inpatient Physicians, PC Hospitalist Current Accepting new patients
Marin Hospitalist Medical Group, Inc. CurrentSince Nov 1, 2022 Accepting new patients
Galen Inpatient Physicians PC Hospitalist CurrentSince Sep 18, 2024 Accepting new patients
Farallon Inpatient Medical Group Inc CurrentSince Jan 25, 2022 Accepting new patients
Galen Inpatient Physicians PC Hospitalist CurrentSince Sep 18, 2024 Accepting new patients
Orthopedic Trauma Services LTD Past Accepting new patients
San Francisco Emergency Medical Associates PastSince Mar 12, 2024 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

  • Direct secure messaging: wmundy40235@hisp.ehr.sutterhealth.org
  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.