Individual provider Active NPI

John Jason Munoz, M.D.

  • Urology Physician
  • Manchester, NH
National Provider Identifier
1063498095
Registry record updated Apr 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
10098 Issued in NH
Practice address
4 Elliot Way
Suite 200
Manchester, NH 03103-3547
Phone
(603) 669-9200
Fax
(603) 624-2210
NPI assigned
Dec 21, 2005
Last updated
Apr 19, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 10098 NH Primary

Addresses

Primary practice location

4 Elliot Way
Suite 200
Manchester, NH 03103-3547

Mailing address

4 Elliot Way
Suite 200
Manchester, NH 03103-3547
Phone (603) 669-9200

Other practice location 1

5 Washington Pl
Bedford, NH 03110-6736
Phone (603) 695-8222

Other practice location 2

14 Tsienneto Rd
Derry, NH 03038-1647
Phone (603) 669-9200

Other identifiers 1

IdentifierTypeStateIssuer
3083972MedicaidNH

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address jmunoz1353@direct.solutionhealth.org
Direct Messaging Address jmunoz1353@direct.solutionhealth.org
Direct Messaging Address jmunoz1353@direct.solutionhealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20060213000424 NH Practitioner - Urology 0749295749 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Pittsburgh School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elliot Professional ServicesGroup PAC ID 6103727920, 429 clinicians

Practice addresses (Care Compare)

1 Elliot Way
Manchester, NH 03103-3502
Phone (603) 622-6484

4 Elliot Way
Suite 200
Manchester, NH 03103-3553
Phone (603) 836-1590

One Elliot Way
100 Elliot Cardiovascular Consultants
Manchester, NH 03103-3502
Phone (603) 627-1669

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.1 of 100Reported as group
Quality
84.36
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection43
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10098NHMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Manchester Urology Associates Professional Association Urology CurrentSince Jul 1, 2002 Accepting new patients
Elliot Professional Services CurrentSince Dec 15, 2025 Accepting new patients
Dartmouth-Hitchcock Clinic CurrentSince Oct 1, 2019 Accepting new patients
Manchester Urology Associates Professional Association Urology CurrentSince Jul 1, 2002 Accepting new patients

Locations

5 Washington Pl
Bedford, NH 03110
Phone (603) 314-4567

14 Tsienneto Rd
Derry, NH 03038
Phone (603) 425-6966

1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922

1 Elliot Way
Manchester, NH 03103
Phone (603) 663-2271

4 Elliot Way
Ste 200
Manchester, NH 03103
Phone (603) 669-9200

17 Riverside St
Nashua, NH 03062
Phone (603) 577-3190

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Catholic Medical CenterManchester, NH, CCN 301823 Federally qualified health center Other Apr 20, 2017

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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

Hospital & facility affiliations 7

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": "1135123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618790400000",
    "number": "1063498095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 ELLIOT WAY",
            "address_2": "SUITE 200",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031033547",
            "telephone_number": "603-669-9200",
            "fax_number": "603-624-2210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 ELLIOT WAY",
            "address_2": "SUITE 200",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031033547",
            "telephone_number": "603-669-9200",
            "fax_number": "603-624-2210"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Washington Pl",
            "address_purpose": "LOCATION",
            "city": "Bedford",
            "state": "NH",
            "postal_code": "031106736",
            "country_code": "US",
            "telephone_number": "603-695-8222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14 Tsienneto Rd",
            "address_purpose": "LOCATION",
            "city": "Derry",
            "state": "NH",
            "postal_code": "030381647",
            "country_code": "US",
            "telephone_number": "603-669-9200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUNOZ",
        "first_name": "JOHN",
        "middle_name": "JASON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-21",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NH",
            "license": "10098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3083972",
            "state": "NH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmunoz1353@direct.solutionhealth.org",
            "affiliation": "N",
            "address_1": "4 Elliot Way",
            "address_2": "Suite 200",
            "city": "Manchester",
            "state": "NH",
            "country_code": "US",
            "postal_code": "031033547",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmunoz1353@direct.solutionhealth.org",
            "affiliation": "N",
            "address_1": "17 Riverside St",
            "city": "Nashua",
            "state": "NH",
            "country_code": "US",
            "postal_code": "030621304",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmunoz1353@direct.solutionhealth.org",
            "affiliation": "N",
            "address_1": "14 Tsienneto Rd",
            "city": "Derry",
            "state": "NH",
            "country_code": "US",
            "postal_code": "030381647",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

Verify at the official NPI Registry.