ANDREW W. MUNDWILER (MD) – Neuromuscular Medicine (Psychiatry & Neurology) Physician, NPI 1265725147

ANDREW W. MUNDWILER (MD) is a healthcare provider. based in Grand rapids, Michigan. specializing in NEUROLOGY. They hold the professional credentials MD. They hold a License No. 4301098512 (MI). The NPI Number for ANDREW W. MUNDWILER (MD) is 1265725147

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
ANDREW W. MUNDWILER (MD)
NPI
1265725147
Phone
(616) 486-6790
Address
100 MICHIGAN ST NE # MC845
Enumeration Date
25 May 2011
Last Update Date
24 February 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6163915600
Graduation Year
2011 (15 years ago)
PAC ID
6002118692
Group Practice PAC ID
4587568647
Professional Enrollment ID
I20160603001902
Address ID
MI495084600KE4444XSEXX401

Contacts

Secure Messaging
amundwiler128367@epic00.shdirect.org
FHIR Endpoint
https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:15State licenses:1Other namesUpdated within 12 months

964 NEUROLOGY in MI

Provider Addresses for ANDREW W. MUNDWILER (MD)

  • 100 MICHIGAN ST NE # MC845

    GRAND RAPIDS, MI 495032560

    Phone: (616) 486-6790

    Fax: (616) 486-6702

    Type: Mailing

  • 25 MICHIGAN ST NE

    SUITE 6100

    GRAND RAPIDS, MI 495032515

    Phone: (616) 267-7900

    Fax: (616) 267-7901

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2016-06-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20160603001902INeurologyMITBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
95886Needle measurement of electrical activity in arm or leg muscles, complete study5953$0
99215Established patient office or other outpatient visit, 40-54 minutes4333$0
99213Established patient office or other outpatient visit, 20-29 minutes3634$0
95885Needle measurement of electrical activity in arm or leg muscles, limited study3226$0
95908Nerve conduction, 3-4 studies2626$0
View full utilization report →

Insurance plans in this area (ZIP 49503)

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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: 4587568647View full group profile
NameSpecialtyState
Critical Care (Intensivists)IL
Physician AssistantMI
Physician AssistantMI
Physician AssistantMI
-MI
Vascular SurgeryIL
-MI
-MI
A N E S T H E S I O L O G YTX
Clinical Social WorkerMI

Reviews

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Frequently asked questions

What is the 10-digit NPI for ANDREW W. MUNDWILER (MD)?
ANDREW W. MUNDWILER (MD) — NPI 1265725147 — is the standard way to identify this listing.
Is ANDREW W. MUNDWILER (MD) still practicing?
ANDREW W. MUNDWILER (MD) is currently listed as active in the public NPI registry.
What is ANDREW W. MUNDWILER (MD)'s primary classification?
Neuromuscular Medicine (Psychiatry & Neurology) Physician is the headline specialty for ANDREW W. MUNDWILER (MD) here. Clinical services aligned with this taxonomy classification.
Where is ANDREW W. MUNDWILER (MD) based?
ANDREW W. MUNDWILER (MD) is tied to Grand Rapids, Michigan in the data we show; additional addresses may exist on the full record.
Is the information about ANDREW W. MUNDWILER (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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