Active NPI
Patricia Juma Munda, MD
- Family Medicine Physician
- Fredericksburg, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD06794L
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001750533 | Medicaid | PA | |
| 01920701 | Other | PA | BLUE CROSS |
| 0554465 | Other | PA | BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD06794L | PA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Family Practice Center of New Castle, PA | Family Medicine | Current | Accepting new patients |
| Christiana Care Health Services Inc | Current | Accepting new patients | |
| Christiana Care Health Services Inc | Current | Accepting new patients | |
| Christiana Care Health Services, Inc | Current | Accepting new patients | |
| Christiana Care Quality Partners | Current | Accepting new patients | |
| Abby Medical, LLC | Family Medicine | Current | Accepting new patients |
| Christiana Care Quality Partners | Past | 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
- patricia.munda@ghuccc.eclinicaldirectplus.com
- 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.
-
- Endocrinology, Diabetes & Metabolism Physician
- Wilmington, DE
- NPI 1770568107
-
- Family Medicine Physician
- Newark, DE
- NPI 1164592168
-
- Neurology Physician
- Chadds Ford, PA
- NPI 1881228484
-
- Obstetrics & Gynecology Physician
- Newark, DE
- NPI 1376528729
-
- Urgent Care Clinic/Center
- Wilmington, DE
- NPI 1881367332
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Smyrna, DE
- NPI 1841293438
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.