Individual provider Active NPI

Abdul Munim, M.D.

  • Internal Medicine Physician
  • Laurel, MD
National Provider Identifier
1215960703
Registry record updated Mar 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0055861 Issued in MD
Practice address
8379 Cherry LN
Laurel, MD 20707-4831
Phone
(301) 725-3940
NPI assigned
Jul 8, 2006
Last updated
Mar 28, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0055861 MD Primary

Addresses

Primary practice location

8379 Cherry LN
Laurel, MD 20707-4831

Mailing address

8379 Cherry LN
Laurel, MD 20707-4831
Phone (301) 725-3940

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20041109000192 DC Practitioner - Internal Medicine 4486617644 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8379 Cherry LN
Laurel, MD 20707-4831
Phone (301) 725-3940

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0055861MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Maryland PC Internal Medicine CurrentSince Apr 30, 2009 Accepting new patients
Access Medcare, LLC CurrentSince Jun 1, 2005 Accepting new patients
Hospitalist Medicine Physicians of Maryland PC Internal Medicine CurrentSince Apr 30, 2009 Accepting new patients
Hospital Physician Services, LLLP Internal Medicine Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

3001 Hospital Dr
Hyattsville, MD 20785
Phone (301) 618-2000

7300 Van Dusen Rd
Laurel, MD 20707
Phone (301) 725-4300

8379 Cherry Ln
Laurel, MD 20707
Phone (301) 725-3939

Organizations & group practices 5

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 1

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": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648425600000",
    "number": "1215960703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8379 CHERRY LN",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207074831",
            "telephone_number": "301-725-3940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8379 CHERRY LN",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207074831",
            "telephone_number": "301-725-3940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNIM",
        "first_name": "ABDUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-08",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0055861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

Verify at the official NPI Registry.