Individual provider Active NPI

Gerhard Salomo Mundinger, MD

  • Plastic Surgery Physician
  • West Lake Hills, TX
National Provider Identifier
1578765129
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
T2450 Issued in TX
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

Updated by the provider on Aug 13, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
C197951CAMDPlastic Surgery Physician
DR.0065846COMDPlastic Surgery Physician
303222LAMDPlastic Surgery Physician
T2450TXMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brownstein & Crane Surgical Services CurrentSince May 25, 2025 Accepting new patients
Crane Surgical Services CurrentSince Aug 17, 2025 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

  • Direct secure messaging: gerhard.mundinger.1@30614.direct.athenahealth.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.