Individual provider Active NPI

Patricia Juma Munda, MD

  • Family Medicine Physician
  • Fredericksburg, PA
National Provider Identifier
1053371385
Registry record updated Dec 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD06794L Issued in PA
Practice address
Tan & Chestnut Streets
Fredericksburg Community Health Center PC
Fredericksburg, PA 17026-0009
Phone
(717) 865-6644
Fax
(717) 865-7321
NPI assigned
Mar 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD06794L PA Primary

Addresses

Primary practice location

Tan & Chestnut Streets
Fredericksburg Community Health Center PC
Fredericksburg, PA 17026-0009

Mailing address

PO Box 9
Tan & Chestnut St Fredericksburg Community Health Cente
Fredericksburg, PA 17026-0009
Phone (717) 865-6644

Other identifiers 3

IdentifierTypeStateIssuer
001750533MedicaidPA
01920701OtherPABLUE CROSS
0554465OtherPABLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080814000122 DE Practitioner - Family Practice 7810062684 Reassigns benefits to 4 organizations
I20231021000593 MD Practitioner - Family Practice 7810062684 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christiana Care Quality PartnersGroup PAC ID 0143657247, 96 clinicians

Practice addresses (Care Compare)

101 N E PLZ
Christianacare Gohealth Urge
North East, MD 21901-3633
Phone (410) 656-7867

1011 E Songsmith Dr
Christianacare Gohealth Urgent Care
Bear, DE 19701-1194
Phone (302) 918-7509

129 N Dupont Hwy
New Castle, DE 19720-3135
Phone (302) 501-6367

200 Banning St
Suite 170
Dover, DE 19904-3491
Phone (302) 674-1999

200 Hygeia Dr
Newark, DE 19713-2049
Phone (302) 273-1701

2305 Concord Pike
Wilmington, DE 19803-2911
Phone (302) 467-3588

2645 Pulaski Hwy
SPC a
Newark, DE 19702-3909
Phone (302) 273-1317

310 E Pulaski Hwy
Christianacare Gohealth Urge
Elkton, MD 21921-6435
Phone (443) 485-6213

360 Buckley Mill Rd
Suite B
Greenville, DE 19807-3035
Phone (302) 299-1001

4724 Limestone Rd
Wilmington, DE 19808-1928
Phone (302) 467-3595

749 Middletown Warwick Rd
Christianacare Gohealth Urgent Care
Middletown, DE 19709-9095
Phone (302) 273-1614

Hospital & facility affiliations

  • Christianacare Homehealth Home health agency, Camden, DE, CCN 087301

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD06794LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Family Practice Center of New Castle, PA Family Medicine CurrentSince Aug 1, 2013 Accepting new patients
Christiana Care Health Services Inc CurrentSince Sep 14, 2010 Accepting new patients
Christiana Care Health Services Inc CurrentSince Sep 14, 2010 Accepting new patients
Christiana Care Health Services, Inc Current Accepting new patients
Christiana Care Quality Partners CurrentSince Oct 9, 2023 Accepting new patients
Abby Medical, LLC Family Medicine CurrentSince Jul 1, 2008 Accepting new patients
Christiana Care Quality Partners PastSince Aug 1, 2021 Accepting new patients

Locations

15 S DuPont Hwy
Dover, DE 19901
Phone (302) 674-1514

1 Centurian Dr
Ste 105
Newark, DE 19713
Phone (302) 322-9240

1 Centurian Dr
Ste 106
Newark, DE 19713
Phone (302) 322-9240

4755 Oglewtown Stant S 190
Newark, DE 19718
Phone (302) 733-6510

4724 Limestone Rd
Wilmington, DE 19808
Phone (302) 467-3595

5555 Glenridge Connector
Ste 700
Sandy Springs, GA 30342
Phone (470) 567-7780

310 E Pulaski Hwy
Elkton, MD 21921
Phone (443) 485-6213

101 North East Plz
North East, MD 21901
Phone (410) 543-2020

Interoperability endpoints

  • Direct secure messaging: patricia.munda@ghuccc.eclinicaldirectplus.com
  • Direct secure messaging: patricia.munda.1@27404.direct.athenahealth.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197849600000",
    "number": "1053371385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9",
            "address_2": "TAN & CHESTNUT ST FREDERICKSBURG COMMUNITY HEALTH CENTE",
            "city": "FREDERICKSBURG",
            "state": "PA",
            "postal_code": "170260009",
            "telephone_number": "717-865-6644",
            "fax_number": "717-865-7321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TAN & CHESTNUT STREETS",
            "address_2": "FREDERICKSBURG COMMUNITY HEALTH CENTER PC",
            "city": "FREDERICKSBURG",
            "state": "PA",
            "postal_code": "170260009",
            "telephone_number": "717-865-6644",
            "fax_number": "717-865-7321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNDA",
        "first_name": "PATRICIA",
        "middle_name": "JUMA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-23",
        "last_updated": "2007-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD06794L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001750533",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "01920701",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "0554465",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, PA

Sources for this page

Verify at the official NPI Registry.