Individual provider Active NPI

Michael C Muneses, PA

  • Physician Assistant
  • Baltimore, MD
National Provider Identifier
1114013745
Registry record updated Feb 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0002594 Issued in MD
Practice address
4924 Campbell Blvd
Suite 125
Baltimore, MD 21236-5908
Phone
(443) 461-1997
Fax
(443) 461-1998
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C0002594 MD Primary

Addresses

Primary practice location

4924 Campbell Blvd
Suite 125
Baltimore, MD 21236-5908

Mailing address

5000 Cox Rd
Glen Allen, VA 23060-9263
Phone (804) 968-5700

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address MDExchange@patientfirstclinics.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100610000253 MD Practitioner - Physician Assistant 2961532494 Reassigns benefits to 2 organizations
I20140325001830 DC Practitioner - Physician Assistant 2961532494 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Patient First Maryland Medical Group PLLCGroup PAC ID 4385538735, shared by 26 NPIs, 258 clinicians

Practice addresses (Care Compare)

10210 Reisterstown Rd
Owings Mills, MD 21117-3606
Phone (410) 902-6776

10424 Baltimore Ave
Beltsville, MD 20705-2321
Phone (240) 542-5987

13671 Georgia Ave
Aspen Hill, MD 20906-5214
Phone (240) 514-0000

15459 Annapolis Rd
Bowie, MD 20715-1847
Phone (240) 544-0676

1670 Ritchie Station CT
Capitol Heights, MD 20743-5074
Phone (240) 765-1406

2051 W St
Annapolis, MD 21401-3006
Phone (443) 603-0758

4924 Campbell Blvd
Suite 125
Baltimore, MD 21236-5921
Phone (443) 461-1997

5100 Eastern Ave
Bayview
Baltimore, MD 21224-2772
Phone (410) 814-4500

560 W Macphail Rd
Bel Air, MD 21014-4320
Phone (410) 638-6480

7116 Ritchie Hwy
Glen Burnie, MD 21061-2904
Phone (443) 577-0277

726 Rockville Pike
Rockville, MD 20852-1133
Phone (240) 238-0411

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C0002594MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Patient First Maryland Medical Group, PLLC CurrentSince Dec 21, 2009 Accepting new patients
Patient First Maryland Medical Group PLLC CurrentSince Dec 30, 2013 Accepting new patients
Patient First Maryland Medical Group PLLC CurrentSince Dec 21, 2009 Accepting new patients
Johns Hopkins Community Physicians CurrentSince Apr 1, 2020 Accepting new patients
Johns Hopkins Community Physicians CurrentSince Apr 1, 2020 Accepting new patients
Medlantic Healthcare Group Past Accepting new patients
Dresnick Sterling Emergency Physicians of Maryland PA Past Accepting new patients

Locations

1000 E Eager St
Baltimore, MD 21202
Phone (410) 522-9800

4924 Campbell Blvd
Ste 125
Baltimore, MD 21236
Phone (443) 461-1997

10210 Reisterstown Rd
#12302
Owings Mills, MD 21117
Phone (410) 902-6776

10210 Reisterstown Rd
Owings Mills, MD 21117
Phone (410) 902-6776

726 Rockville Pike
Rockville, MD 20852
Phone (240) 238-0411

2855 Crain Hwy
Waldorf, MD 20601
Phone (240) 427-1926

5000 Cox Rd
Glen Allen, VA 23060
Phone (804) 822-4355

Interoperability endpoints

  • Direct secure messaging: mdexchange@patientfirstclinics.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645660800000",
    "number": "1114013745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 COX RD",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230609263",
            "telephone_number": "804-968-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4924 CAMPBELL BLVD",
            "address_2": "SUITE 125",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212365908",
            "telephone_number": "443-461-1997",
            "fax_number": "443-461-1998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNESES",
        "first_name": "MICHAEL",
        "middle_name": "C",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0002594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MDExchange@patientfirstclinics.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "4924 Campbell Blvd",
            "address_2": "Suite 125",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212365908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.