Individual provider Active NPI

William E Wunder, MD

  • Family Medicine Physician
  • Jupiter, FL
National Provider Identifier
1750464020
Registry record updated Jan 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01027902 Issued in IN
Practice address
1000 E Indiantown Rd
Jupiter, FL 33477-5111
Phone
(317) 773-0002
Fax
(317) 776-6095
NPI assigned
Oct 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01027902 IN Primary

Addresses

Primary practice location

1000 E Indiantown Rd
Jupiter, FL 33477-5111

Mailing address

PO Box 775985
Chicago, IL 60677-5985
Phone (317) 770-6900

Other identifiers 1

IdentifierTypeStateIssuer
100125580MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20210803002550 FL Practitioner - Family Practice 1456493733 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Indiana University School of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1000 E Indiantown Rd
Jupiter, FL 33477-5111
Phone (561) 741-5566

1002 S Old Dixie Hwy
Jupiter, FL 33458-7202

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Jupiter Medical Center Physicians Group Inc CurrentSince Apr 1, 2023 Accepting new patients
Jupiter Medical Center Physicians Group Inc CurrentSince Apr 1, 2023 Accepting new patients
Riverview Hospital CurrentSince Dec 5, 2021 Accepting new patients
Radiology Services of Jupiter Medical Specialists, LLC Past Accepting new patients
Benaim Eye LLC PastSince Jul 2, 2013 Accepting new patients

Locations

1000 E Indiantown Rd
Jupiter, FL 33477
Phone (561) 741-5566

5430 Military Trl
Ste 62
Jupiter, FL 33458
Phone (561) 263-4343

2055 Military Trl
Ste 307
Jupiter, FL 33458
Phone (561) 263-7449

1002 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 741-5695

136 Jupiter Lakes Blvd
Jupiter, FL 33458
Phone (561) 741-5591

3401 Pga Blvd
Ste 320
West Palm Bch, FL 33410
Phone (561) 626-3385

Interoperability endpoints

  • Direct secure messaging: wwunder19160@jupitermedicalcenter.direct-ci.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674172800000",
    "number": "1750464020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 775985",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606775985",
            "telephone_number": "317-770-6900",
            "fax_number": "317-770-6911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E INDIANTOWN RD",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334775111",
            "telephone_number": "317-773-0002",
            "fax_number": "317-776-6095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WUNDER",
        "first_name": "WILLIAM",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01027902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100125580",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

Verify at the official NPI Registry.