Victoria Rose Hundertmark, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0101270721 Issued in VA

Practice address

Meddac-Bavaria
PSC 411 Unit 28037
Apo, NY 09112

Phone

(314) 569-4192

NPI assigned

Jun 10, 2019

Last updated

May 28, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Victoria Rose Hall Former name

Medicare fee-for-service enrollment

Enrolled in GA

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

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

{
    "created_epoch": "1560124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1699334094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "MIL",
            "address_1": "MEDDAC-BAVARIA",
            "address_2": "PSC 411 UNIT 28037",
            "city": "APO",
            "state": "AE",
            "postal_code": "09112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MEDDAC-BAVARIA",
            "address_2": "PSC 411 UNIT 28037",
            "city": "APO",
            "state": "NY",
            "postal_code": "09112",
            "telephone_number": "314-569-4192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNDERTMARK",
        "first_name": "VICTORIA",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-10",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101270721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICTORIA",
            "last_name": "HALL",
            "middle_name": "ROSE",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jose M De Asis, M.D.
• Michael Ryan Donohue, DPT
• Andrew Joseph Gausepohl, MD
• Jacob Hansen, DO
• Kelley Kopitzke Hood, LCSW
• Garett E Jackson, M.D.
• Shonda Renee Janke, M.D.
• Angela Lyn Johnson, LCSW
• Chad Killpack, PSY.D., ABPP
• Nicholas Allan Kroll, CRNA

• Family Medicine Physician in Apo, NY
• Providers in Apo, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; 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.