LUCINDA L MUNDORF (MD) – Internal Medicine Physician, NPI 1497732374

LUCINDA L MUNDORF (MD) is a healthcare provider. based in West river, Maryland. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 17890 (MS). The NPI Number for LUCINDA L MUNDORF (MD) is 1497732374

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
LUCINDA L MUNDORF (MD)
NPI
1497732374
Phone
(410) 867-4700
Address
134 OWENSVILLE RD
Enumeration Date
30 December 2005
Last Update Date
17 August 2023

Doctor Profile

Medical School Name
GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7018423000
Graduation Year
1999 (27 years ago)
PAC ID
7810913951
Group Practice PAC ID
5890768006
Professional Enrollment ID
I20190311001651
Address ID
ND588547628WA709XXNEXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

5,262 INTERNAL MEDICINE in MD

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Provider Addresses for LUCINDA L MUNDORF (MD)

  • Bay Community Health, 134, Owensville Road, Chapel Knoll, Anne Arundel County, Maryland, 20778, United States

    WEST RIVER, MD 207789998

    Phone: (410) 867-4700

    Type: Mailing

  • 709 4TH AVE NE

    WATERFORD CITY, ND 588547628

    Phone: (701) 842-3771

    Fax: (701) 444-4025

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $19.

Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.

Last reported payment date: 2024-08-21 • Largest payer in this snapshot: Bayer Healthcare Pharmaceuticals Inc. ($19).

Total Amount

$19

General + Research + Ownership

Payments

1

Total payment records

General Amount

$19

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-21

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-03-11

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20051018001242IInternal MedicineMDTBD
I20190311001651IInternal MedicineNDTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 20778)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5890768006View full group profile
NameSpecialtyState
-MO
Certified Registered Nurse Anesthetist (Crna)MT
-UT
Nurse PractitionerND
Physical Therapist In Private PracticeND
Pain Management, Interventional Pain ManagementKY
Nurse PractitionerND
General PracticeND
Certified Registered Nurse Anesthetist (Crna)ND
Family PracticeKS

Reviews

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Frequently asked questions

What unique ID ties claims to LUCINDA L MUNDORF (MD)?
NPI 1497732374 is assigned to LUCINDA L MUNDORF (MD) under the national enumeration system.
Is LUCINDA L MUNDORF (MD) active in the national directory?
LUCINDA L MUNDORF (MD)'s public NPI profile is in an active state.
What does LUCINDA L MUNDORF (MD) treat or focus on?
Patients typically see LUCINDA L MUNDORF (MD) under the specialty Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for LUCINDA L MUNDORF (MD)?
The page summarizes West River, Maryland for LUCINDA L MUNDORF (MD); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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