Celestino Monzon Menchavez, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

D58923 Issued in MD

Practice address

915 Bishop Walsh Rd
Cumberland, MD 21502-1850

Phone

(301) 777-2722

Fax

(301) 777-2736

NPI assigned

Jan 19, 2007

Last updated

Jun 17, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: celestino.menchavez.1@478.direct.athenahealth.com
• Direct secure messaging: celestino.menchavez.1@8042.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/478/brand/1/csg/1/fhir/r4
• FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4

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.

• Privia Medical Group, LLC

  • Internal Medicine Physician
  • Arlington, VA
  • NPI 1013042480

  MD, Pediatrics

  Medicare reassignment NPD
• Menchavez Pediatrics, LLC

  • Pediatrics Physician
  • Cumberland, MD
  • NPI 1992836167
  NPD Authorized official
• Privia Medical Group, LLC

  • Pain Medicine (Psychiatry & Neurology) Physician
  • Rockville, MD
  • NPI 1811715436
  NPD
• Privia Medical Group, LLC

  • Internal Medicine Physician
  • Arlington, VA
  • NPI 1093251209
  NPD
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• Nova Physician Wellness Center PLLC

  • Family Medicine Physician
  • Fairfax, VA
  • NPI 1215307400
  NPD (past)

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592352000000",
    "number": "1144373549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 BISHOP WALSH RD",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215021850",
            "telephone_number": "301-777-2722",
            "fax_number": "301-777-2736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 BISHOP WALSH RD",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215021850",
            "telephone_number": "301-777-2722",
            "fax_number": "301-777-2736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENCHAVEZ",
        "first_name": "CELESTINO",
        "middle_name": "MONZON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-19",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D58923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "402692600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Memorial Hospital and Medical Center of Cumberland, Inc. (Trauma Services)
• Memorial Hospital and Medical Center of Cumberland, Inc. (Memorial Hosp Med Ctr Hosp)
• Memorial Hospital and Medical Center of Cumberland, Inc. (Western Maryland Trauma Associates)
• Memorial Hospital and Medical Center of Cumberland, Inc. (Memorial Hosp Diag Svcs)
• Menchavez Pediatrics, LLC
• Noriecel Dimayuga Mendoza, M.D.
• Cheriann Menges, LMSW
• Mep Observation Services LLC
• Meritus Medical Center Inc
• Candace Lucia Merrill

• Pediatrics Physician in Cumberland, MD
• Providers in Cumberland, MD by specialty
• Pediatrics Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.