Individual provider Active NPI

Michael W Munagian, MD

  • Diagnostic Radiology Physician
  • Stevens Point, WI
National Provider Identifier
1164695441
Registry record updated Nov 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
48764-020 Issued in WI
Practice address
3410 Stanley St
Stevens Point, WI 54481-1325
Phone
(715) 344-1234
Fax
(715) 344-6367
NPI assigned
Apr 8, 2008
Last updated
Nov 15, 2022By the provider in NPPES
Sex
Male
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
Diagnostic Radiology Physician 2085R0202X 48764-020 WI Primary

Addresses

Primary practice location

3410 Stanley St
Stevens Point, WI 54481-1325

Mailing address

3410 Stanley St
Stevens Point, WI 54481-1325
Phone (715) 344-1234

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20080718000713 WI Practitioner - Diagnostic Radiology 8527131804 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Medical College of Wisconsin, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Wisconsin Radiologists SCGroup PAC ID 7113912304, 9 clinicians

Practice addresses (Care Compare)

3410 Stanley St
Stevens Point, WI 54481-1325
Phone 7153441234117

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.05 of 100Reported as group
Quality
92.26
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
48764-020WIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stat Anesthesia Specialists, LTD. Past Accepting new patients
Ashland Pathology Services SC PastSince Nov 20, 2022 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1207612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1164695441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3410 STANLEY ST",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544811325",
            "telephone_number": "715-344-1234",
            "fax_number": "715-344-6367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 STANLEY ST",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544811325",
            "telephone_number": "715-344-1234",
            "fax_number": "715-344-6367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNAGIAN",
        "first_name": "MICHAEL",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-08",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "48764-020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stevens Point, WI

Sources for this page

Verify at the official NPI Registry.