Active NPI
Owen Villagonzalo Muana, MD
- Internal Medicine Physician
- Portsmouth, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 16046
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
- Wilcox Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 70.96 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 16046 | HI | MD | Internal Medicine Physician |
| 259838 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hoola Lahui Hawaii | Current | Accepting new patients | |
| Hoola Lahui Hawaii | Current | 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.
-
- Federally Qualified Health Center (FQHC)
- Waimea, HI
- NPI 1245269976
-
- Federally Qualified Health Center (FQHC)
- Kapaa, HI
- NPI 1891098513
-
- Critical Access Hospital
- Waimea, HI
- NPI 1467510743
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Waimea, HI
- NPI 1467510743
-
- Rural Acute Care Hospital
- Lihue, HI
- NPI 1225113442
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2014; 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.