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SHANE MUDRINICH MD
NPI 1073099750
Internal Medicine in Apo, AP

Active since July 16, 2018PECOS Enrolled
BRIAN D ALLGOOD ARMY COMMUNITY HOSPITAL (BDAACH), UNIT #15245; BLDG 3031, APO, AP 96271(315) 737-1155 Get Directions Write a Review

NPPES record last updated: May 22, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 22, 2026, Jul 8, 2024, Aug 8, 2023 and 1 more (4 updates tracked since 2018).

About Shane Mudrinich Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANE MUDRINICH MD (NPI 1073099750) is an individual internal medicine provider in Apo, AP, licensed in Virginia (0101276111) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073099750
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSHANE MUDRINICHCredential: MD
Location AddressBRIAN D ALLGOOD ARMY COMMUNITY HOSPITAL (BDAACH), UNIT #15245; BLDG 3031Apo, AP 96271
Mailing Address8901 Rockville PikeBethesda, MD 20889-0001
Phone(315) 737-1155
Sole ProprietorNo
Enumeration DateJuly 16, 2018
Last NPPES UpdateMay 22, 20264 updates tracked since enumeration
NPPES CertifiedMay 22, 2026
✔ NPI 1073099750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in VA · 0101276111
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
BRIAN D ALLGOOD ARMY COMMUNITY HOSPITAL (BDAACH), Apo, AP 96271
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shane Mudrinich Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shane Mudrinich's NPI number?

The NPI number for Shane Mudrinich is 1073099750. It was assigned to this individual provider in the NPPES registry on July 16, 2018.

Where is Shane Mudrinich located?

Shane Mudrinich practices at Brian D Allgood Army Community Hospital (bdaach) Unit #15245; Bldg 3031, Apo, AP 96271. The listed phone number is (315) 737-1155.

What is Shane Mudrinich's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Shane Mudrinich enrolled in Medicare?

Yes. Shane Mudrinich is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shane Mudrinich was last updated on May 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.