Stephen H Munderloh, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

12525 Issued in AL

Practice address

3719 Dauphin St
Mobile, AL 36608-0525

Phone

(251) 471-3921

Fax

(251) 476-5460

NPI assigned

Dec 9, 2005

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 1

Medicare fee-for-service enrollment

Enrolled in AL

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

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.

• Springhill Diagnostic Radiologists, P.C.

  • Specialist
  • Mobile, AL
  • NPI 1740262476
  Medicare reassignment

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

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308528000000",
    "number": "1497730766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 91628",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366911628",
            "telephone_number": "251-460-0326",
            "fax_number": "251-460-2846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3719 DAUPHIN ST",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366080525",
            "telephone_number": "251-471-3921",
            "fax_number": "251-476-5460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNDERLOH",
        "first_name": "STEPHEN",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-09",
        "last_updated": "2011-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AL",
            "license": "12525",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51015646",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jared Bret Hayden Mullins, DO
• Andin H Mullis, M.D.
• Ryan Mumford
• Nimra Mumtaz, MD
• Salina Munankami, M.D
• Ayesha Munir, MD
• Mary Bernadette Munn, MD
• Ophard K Mupanomunda, MD
• Christie McKean Murchison, PT
• Paul Ryland Murden, CRNP

• Diagnostic Radiology Physician in Mobile, AL
• Providers in Mobile, AL by specialty
• Diagnostic Radiology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2011; 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.