Individual provider Active NPI

Owen Villagonzalo Muana, MD

  • Internal Medicine Physician
  • Portsmouth, VA
National Provider Identifier
1124327226
Registry record updated Jul 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
16046 Issued in HI
Practice address
3960 Turnpike Road
Jencare Neighborhood Medical Center Victory, LLC
Portsmouth, VA 23710
Phone
(757) 393-1136
Fax
(757) 393-5534
NPI assigned
Mar 15, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 259838 NY
Internal Medicine Physician 207R00000X 16046 HI Primary

Addresses

Primary practice location

3960 Turnpike Road
Jencare Neighborhood Medical Center Victory, LLC
Portsmouth, VA 23710

Mailing address

3960 Turnpike Road
Jencare Neighborhood Medical Center Victory, LLC
Portsmouth, VA 23710
Phone (757) 393-1136

Other names 1

  • Dr. Owen Nino Villagonzalo Muana Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
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
I20110804000317 HI Practitioner - Internal MedicinePractitioner - Geriatric Medicine 3779752985 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hoola Lahui HawaiiGroup PAC ID 2860303021, 12 clinicians

Practice addresses (Care Compare)

4643 Waimea Canyon Dr
Waimea, HI 96796
Phone (808) 338-1855

PO Box
Suite 487
Waimea, HI 96796

Hospital & facility affiliations

  • Kauai Veterans Memorial Hospital Hospital, Waimea, HI, CCN 121300
  • Wilcox Memorial Hospital Hospital, Lihue, HI, CCN 120014

Merit-based Incentive Payment System (MIPS)

Final score
70.96 of 100Reported as group
Quality
47.2
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16046HIMDInternal Medicine Physician
259838NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hoola Lahui Hawaii CurrentSince Aug 1, 2017 Accepting new patients
Hoola Lahui Hawaii CurrentSince Aug 1, 2017 Accepting new patients
Kauai Veterans Memorial Hospital Past Accepting new patients

Locations

4800 Kawaihau Rd
Ste D
Kapaa, HI 96746
Phone (808) 240-0170

Networks

  • HI PPO
  • devoted network organization-c89d4c14-e90f-4cf7-83f9-456527a52335

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.

Hospital & facility affiliations 2

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": "1300147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405900800000",
    "number": "1124327226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3960 TURNPIKE ROAD",
            "address_2": "JENCARE NEIGHBORHOOD MEDICAL CENTER VICTORY, LLC",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "23710",
            "telephone_number": "757-393-1136",
            "fax_number": "757-393-5534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3960 TURNPIKE ROAD",
            "address_2": "JENCARE NEIGHBORHOOD MEDICAL CENTER VICTORY, LLC",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "23710",
            "telephone_number": "757-393-1136",
            "fax_number": "757-393-5534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUANA",
        "first_name": "OWEN",
        "middle_name": "VILLAGONZALO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-15",
        "last_updated": "2014-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "259838",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "16046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OWEN NINO",
            "last_name": "MUANA",
            "middle_name": "VILLAGONZALO",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Portsmouth, VA

Sources for this page

Verify at the official NPI Registry.