Active NPI
Paul Munoz, MD
- Emergency Medicine Physician
- Shelby, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 200400067
- Practice address
- 201 E Grover St
Shelby, NC 28150-3917 - Phone
- (919) 477-5152
- Fax
- (919) 477-5474
- NPI assigned
- May 15, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 200400067 | NC | Primary |
Addresses
Primary practice location
201 E Grover St
Shelby, NC 28150-3917
Mailing address
2926 Laura Rd
Shelby, NC 28150
Phone (704) 481-8747
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8913545 | Medicaid | NC | |
| 13545 | Other | NC | BSNC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040503000770 | NC | Practitioner - Emergency Medicine | 5496654840 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Harvard Medical School, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Carolinas Emergency Physicians PA
Practice addresses (Care Compare)
706 W King St
Kings Mountain, NC 28086-2708
Phone (980) 487-5450
Hospital & facility affiliations
- Atrium Health Cleveland
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24113 | AL | MD | Pharmacist |
| 200400067 | NC | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolinas Emergency Physicians, P.a. | Emergency Medicine | Current | Accepting new patients |
| Carolinas Emergency Physicians, P.a. | Emergency Medicine | Past | Accepting new patients |
| Emergency Services of Montgomery PC | Emergency Medicine | Past | Accepting new patients |
Locations
706 W King St
Kings Mtn, NC 28086
Phone (704) 730-5108
201 E Grover St
Shelby, NC 28150
Phone (704) 487-3000
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- Kings Mountain, NC
- NPI 1285952671
Emergency Medicine, NC
-
- Emergency Medicine Physician
- Shelby, NC
- NPI 1316264195
Emergency Medicine
-
- Emergency Medicine Physician
- Prattville, AL
- NPI 1528310323
Emergency Medicine
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": "1147651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357257600000",
"number": "1124079827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2926 LAURA RD",
"city": "SHELBY",
"state": "NC",
"postal_code": "28150",
"telephone_number": "704-481-8747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 E GROVER ST",
"city": "SHELBY",
"state": "NC",
"postal_code": "281503917",
"telephone_number": "919-477-5152",
"fax_number": "919-477-5474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUNOZ",
"first_name": "PAUL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-15",
"last_updated": "2013-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NC",
"license": "200400067",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8913545",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BSNC",
"identifier": "13545",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shelby, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2013; 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.