Individual provider Active NPI

Katanga Muanza, PA-C

  • Physician Assistant
  • Irving, TX
National Provider Identifier
1134762958
Registry record updated Nov 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA13234 Issued in TX
Practice address
2001 N Macarthur Blvd Ste 655
Irving, TX 75061-2244
Phone
(832) 549-6121
NPI assigned
Oct 24, 2019
Last updated
Nov 11, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA061222 PA
Physician Assistant 363A00000X STUDENT TX
Physician Assistant 363A00000X PA13234 TX Primary

Addresses

Primary practice location

2001 N Macarthur Blvd Ste 655
Irving, TX 75061-2244

Mailing address

2001 N Macarthur Blvd Ste 655
Irving, TX 75061-2244
Phone (832) 549-6121

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20200107001619 TX Practitioner - Physician Assistant 3577997113 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TMH Physician Associates PLLCGroup PAC ID 4486711744, 1,881 clinicians
MedhealthGroup PAC ID 9931001567, 435 clinicians

Practice addresses (Care Compare)

16605 Southwest Fwy
Sugar Land, TX 77479-3500
Phone (281) 275-0800

16605 Southwest Fwy 400 Mob3
Methodist Family Medicine Group
Sugar Land, TX 77479-3500
Phone (281) 275-0800

16605 SW Fwy 410
Methodist Diag Card of Houston
Sugar Land, TX 77479-3500
Phone (281) 274-0148

221 W Colorado Blvd
Dallas, TX 75208-2393
Phone (469) 695-2055

4401 Garth Rd
Baytown, TX 77521-2122
Phone (281) 420-4350

6550 Fannin St
Suite 1701
Houston, TX 77030-2709
Phone (713) 441-1368

6560 Fannin St
Houston, TX 77030-2761

6565 Fannin St
Houston, TX 77030-2703

6565 Fannin St Main
577 Methodist Acad Med Assoc
Houston, TX 77030-2703
Phone (713) 441-0428

7575 San Felipe St
Suite 155
Houston, TX 77063-1777
Phone (713) 266-9955

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
STUDENTTXMDGeneral Practice Dentistry
MA061222PAMDPhysician Assistant
PA13234TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
TMH Physician Associates PLLC CurrentSince Sep 2, 2022 Accepting new patients
Healthtexas Provider Network CurrentSince Jan 6, 2020 Accepting new patients
TMH Physician Associates PLLC CurrentSince Sep 2, 2022 Accepting new patients
Medhealth CurrentSince Feb 2, 2026 Accepting new patients
Medhealth CurrentSince Feb 2, 2026 Accepting new patients
Healthtexas Provider Network CurrentSince Jan 6, 2020 Accepting new patients

Locations

5408 Colleyville Blvd
Colleyville, TX 76034
Phone (817) 498-9920

221 W Colorado Blvd
Ste 728
Dallas, TX 75208
Phone (214) 941-0100

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

7575 San Felipe St
Ste 155
Houston, TX 77063
Phone (713) 266-9955

2001 N MacArthur Blvd
Ste 655
Irving, TX 75061
Phone (972) 253-4591

16605 Southwest Fwy
Ste 400
Sugar Land, TX 77479
Phone (281) 275-0800

Interoperability endpoints

  • Direct secure messaging: kmuanza418458@directhoustonmethodist.org
  • Direct secure messaging: kmuanza584298@direct.sw.org

Organizations & group practices 7

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 3

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": "1571875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573430400000",
    "number": "1134762958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 N MACARTHUR BLVD STE 655",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750612244",
            "telephone_number": "832-549-6121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 N MACARTHUR BLVD STE 655",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750612244",
            "telephone_number": "832-549-6121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUANZA",
        "first_name": "KATANGA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-24",
        "last_updated": "2019-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA061222",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "STUDENT",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA13234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.