Active NPI
Gerhard Salomo Mundinger, MD
- Plastic Surgery Physician
- West Lake Hills, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- T2450
- Practice address
- 4407 Bee Caves Rd Ste 612
West Lake Hills, TX 78746-5285 - Phone
- (512) 446-9486
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | DR.0065846 | CO | |
| Plastic Surgery Physician | 208200000X | C197951 | CA | |
| Plastic Surgery Physician | 208200000X | 303222 | LA | |
| Plastic Surgery Physician | 208200000X | T2450 | TX | Primary |
Addresses
Primary practice location
4407 Bee Caves Rd Ste 612
West Lake Hills, TX 78746-5285
Mailing address
4407 Bee Caves Rd Ste 612
West Lake Hills, TX 78746-5285
Phone (512) 446-9486
Other practice location 1
5495 Arapahoe Ave Ste 200
Boulder, CO 80303-1225
Phone (415) 625-3230
Other practice location 2
575 Sir Francis Drake Blvd Ste 1
Greenbrae, CA 94904-2307
Phone (415) 625-3230
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 8, 2023 through Feb 8, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C197951 | CA | MD | Plastic Surgery Physician |
| DR.0065846 | CO | MD | Plastic Surgery Physician |
| 303222 | LA | MD | Plastic Surgery Physician |
| T2450 | TX | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brownstein & Crane Surgical Services | Current | Accepting new patients | |
| Crane Surgical Services | Current | Accepting new patients |
Locations
575 Sir Francis Drake Blvd
Ste 1
Greenbrae, CA 94904
Phone (415) 625-3230
4407 Bee Caves Rd
Ste 612
West Lake Hills, TX 78746
Phone (512) 446-9486
Interoperability endpoints
- gerhard.mundinger.1@30614.direct.athenahealth.com
- gerhard.mundinger.1@16041.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Specialist
- West Lake Hills, TX
- NPI 1679076731
-
- Specialist
- Greenbrae, CA
- NPI 1881058790
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": "1755043200000",
"number": "1578765129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4407 BEE CAVES RD STE 612",
"city": "WEST LAKE HILLS",
"state": "TX",
"postal_code": "787465285",
"telephone_number": "512-446-9486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4407 BEE CAVES RD STE 612",
"city": "WEST LAKE HILLS",
"state": "TX",
"postal_code": "787465285",
"telephone_number": "512-446-9486"
}
],
"practiceLocations": [
{
"address_1": "5495 Arapahoe Ave Ste 200",
"address_purpose": "LOCATION",
"city": "Boulder",
"state": "CO",
"postal_code": "803031225",
"country_code": "US",
"telephone_number": "415-625-3230",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "575 Sir Francis Drake Blvd Ste 1",
"address_purpose": "LOCATION",
"city": "Greenbrae",
"state": "CA",
"postal_code": "949042307",
"country_code": "US",
"telephone_number": "415-625-3230",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MUNDINGER",
"first_name": "GERHARD",
"middle_name": "SALOMO",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-05",
"last_updated": "2025-08-13",
"certification_date": "2025-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "CO",
"license": "DR.0065846",
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "CA",
"license": "C197951",
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "LA",
"license": "303222",
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "TX",
"license": "T2450",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Lake Hills, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.