MUNDERLOH MEDICAL LLC
MUNDERLOH MEDICAL LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1578910295, based in Flagstaff, AZ. The organization lists 2 taxonomy classifications, with General Practice Physician recorded as primary.
Getting there
The practice address on file is 1501 S YALE ST 250, Flagstaff, AZ 86001. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 005517 | AZ | General Practice Physician primary |
| 5935 | AZ | Neurology Chiropractor |
This provider holds licence 005517 issued in AZ. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 8820381957
- Enrollment ID
- O20160726002915
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What General Practice covers
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. NUCC Health Care Provider Taxonomy, code 208D00000X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 208D00000X | General Practice Physician | 005517 | AZ | primary |
| 111NN0400X | Neurology Chiropractor Neurology | 5935 | AZ |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1578910295 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | May 23, 2016 |
| Last updated | May 23, 2016 |
| Status | Active |
| Practice address |
1501 S YALE ST 250 Flagstaff, AZ 86001 (928) 556-0707 Fax (928) 779-2223 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 5 | 7 | 8 | 9 | 1 | 0 | 2 | 9 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 5 | 5 | 8 | 9 | 1 | 0 | 2 | 9 |
Sum = 65 · next multiple of 10 = 70 · check digit = 5 · actual last digit = 5
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.