Dean Lee Mundhenke, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

R7B62 Issued in MO

Practice address

205 NW Rd Mize Rd Ste 400
Blue Springs, MO 64014

Phone

(816) 228-9841

Fax

(816) 228-8667

NPI assigned

Sep 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in MO

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Prime Healthcare Kansas City - Physician Services LLC

  • Family Medicine Physician
  • Kansas City, MO
  • NPI 1427449487

  Internal Medicine

  Medicare reassignment NPD
• Jackson County Medical Group LLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Independence, MO
  • NPI 1144277880
  NPD (past)
• Prime Healthcare Physician Services - Providence Inc

  dba Providence Medical Group

  • General Practice Physician
  • Shawnee, KS
  • NPI 1356683213

  Internal Medicine

  NPD (past)
• Prime Healthcare Physician Services - Providence Inc

  • General Practice Physician
  • Leavenworth, KS
  • NPI 1972119741
  NPD (past)

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1447356092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 NW RD MIZE RD STE 400",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "64014",
            "telephone_number": "816-228-9841",
            "fax_number": "816-228-8667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 NW RD MIZE RD STE 400",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "64014",
            "telephone_number": "816-228-9841",
            "fax_number": "816-228-8667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNDHENKE",
        "first_name": "DEAN",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "R7B62",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY",
            "identifier": "167441",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "R7B62",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4536374",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "09141023",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Alan Mozer, MD
• Chrispinus Blaise Muga
• Mulberry Street LLC
• Mulberry Street Tbi, LLC
• Emma Mullen, PTA
• Kevin Munger, D.O.
• Chadia Mupenda
• Rachel Murdock
• Jamie Murray, CPNP-PC
• Jessa Kathryn Murrell

• Internal Medicine Physician in Blue Springs, MO
• Providers in Blue Springs, MO by specialty
• Internal Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.