Individual provider Active NPI

Aubrey Munoz

  • Physician Assistant
  • Colonial Heights, VA
National Provider Identifier
1164099859
Registry record updated Nov 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
280 Charles H Dimmock Pkwy Ste 2
Colonial Heights, VA 23834-2940
Phone
(540) 229-3159
NPI assigned
Jun 10, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

280 Charles H Dimmock Pkwy Ste 2
Colonial Heights, VA 23834-2940

Mailing address

118 Marbleridge Rd
North Chesterfield, VA 23236-2962
Phone (540) 229-3159

Other practice location 1

7301 Forest Ave Ste 102
Richmond, VA 23226-3789
Phone (804) 621-7262

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ammunoz@radford.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20221122002847 VA Practitioner - Physician Assistant 2264800234 Reassigns benefits to 2 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
Dominion Heart and Vascular ClinicGroup PAC ID 7315188141, 3 clinicians

Practice addresses (Care Compare)

280 Charles H Dimmock Pkwy
Suite 2
Colonial Heights, VA 23834-2940
Phone (804) 621-7262

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Varicose Vein & Vascular Clinic LLC CurrentSince Mar 6, 2022 Accepting new patients
Recorian Wellness Services, LLC PastSince Dec 6, 2020 Accepting new patients

Locations

280 Charles H Dimmock Pkwy
Ste 2
Colonial Hgts, VA 23834
Phone (804) 526-3886

2318 Robious Station Cir
Midlothian, VA 23113
Phone (804) 621-7262

7301 Forest Ave
Ste 102
Richmond, VA 23226
Phone (804) 621-7262

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DIGADD/Endpoint/DIGADD

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.

NPI Registry JSON

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

{
    "created_epoch": "1623283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1164099859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 MARBLERIDGE RD",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232362962",
            "telephone_number": "540-229-3159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 CHARLES H DIMMOCK PKWY STE 2",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238342940",
            "telephone_number": "540-229-3159"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7301 Forest Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232263789",
            "country_code": "US",
            "telephone_number": "804-621-7262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUNOZ",
        "first_name": "AUBREY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-10",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ammunoz@radford.edu",
            "affiliation": "N",
            "endpointDescription": "school email",
            "address_1": "1905 Parma Rd",
            "city": "Henrico",
            "state": "VA",
            "country_code": "US",
            "postal_code": "232294147",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Colonial Heights, VA

Sources for this page

Verify at the official NPI Registry.