Individual provider Active NPI

George J Mundanthanam, M.D.

  • Orthopaedic Surgery Physician
  • Austin, TX
National Provider Identifier
1821268798
Registry record updated Dec 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
N7152 Issued in TX
Practice address
5701 W Slaughter LN
A130-442
Austin, TX 78749-6527
Phone
(512) 301-4263
NPI assigned
Mar 7, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X N7152 TX Primary
Orthopaedic Hand Surgery Physician 207XS0106X N7152 TX

Addresses

Primary practice location

5701 W Slaughter LN
A130-442
Austin, TX 78749-6527

Mailing address

5701 W Slaughter LN
A130-442
Austin, TX 78749-6527
Phone (512) 301-4263

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20111028000361 TX Practitioner - Orthopedic SurgeryPractitioner - Hand Surgery 3274686563 Practice locations: Austin, TX; San Marcos, TX

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Hand Surgery
Education
Rutgers New Jersey Medical School, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7900 FM
1826 Suite 100
Austin, TX 78737-1407
Phone (512) 301-4263

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N7152TXMDOrthopaedic Hand Surgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1204848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450051200000",
    "number": "1821268798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 W SLAUGHTER LN",
            "address_2": "A130-442",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787496527",
            "telephone_number": "512-301-4263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 W SLAUGHTER LN",
            "address_2": "A130-442",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787496527",
            "telephone_number": "512-301-4263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNDANTHANAM",
        "first_name": "GEORGE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-07",
        "last_updated": "2015-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "N7152",
            "primary": true
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "TX",
            "license": "N7152",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.