Individual provider Active NPI

Maria Lordes Munoz, MD

  • Pediatrics Physician
  • Titusville, PA
National Provider Identifier
1215964929
Registry record updated Oct 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD051288L Issued in PA
Practice address
339 W Spring St
Suite 103
Titusville, PA 16354-1655
Phone
(814) 827-7004
Fax
(814) 827-4750
NPI assigned
Jun 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD051288L PA Primary

Addresses

Primary practice location

339 W Spring St
Suite 103
Titusville, PA 16354-1655

Mailing address

513 N 1St St
Titusville, PA 16354-1453
Phone (814) 827-3794

Other identifiers 1

IdentifierTypeStateIssuer
0015299780004MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20240809000337 PA Practitioner - Pediatric Medicine 2365989233 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD051288LPAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Titusville Area Health Services, Inc. Pediatrics CurrentSince Jun 1, 2024 Accepting new patients
Titusville Area Hospital CurrentSince Jun 1, 2024 Accepting new patients
Titusville Area Health Services, Inc. CurrentSince Jun 1, 2024 Accepting new patients
Titusville Area Hospital CurrentSince Jun 1, 2024 Accepting new patients
Saint Vincent Medical Education and Research Institute Inc Pediatrics Past Accepting new patients
St Vincent Medical Education and Research Institute Inc Pediatrics Past Accepting new patients
Titusville Area Hospital Past Accepting new patients
Titusville Area Hospital Past Accepting new patients

Locations

115 Main St
Tidioute, PA 16351
Phone (814) 484-3096

335 W Oak St
#D
Titusville, PA 16354
Phone (814) 827-8962

406 W Oak St
Titusville, PA 16354
Phone (814) 827-1851

339 W Spring St
Titusville, PA 16354
Phone (814) 827-9675

339 W Spring St
Ste 103
Titusville, PA 16354
Phone (814) 827-7004

335 W Oak St
Titusville, PA 16354
Phone (814) 827-1852

Interoperability endpoints

  • Direct secure messaging: maria.munoz@directaddress.net

Organizations & group practices 8

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": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193097600000",
    "number": "1215964929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 N 1ST ST",
            "city": "TITUSVILLE",
            "state": "PA",
            "postal_code": "163541453",
            "telephone_number": "814-827-3794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 W SPRING ST",
            "address_2": "SUITE 103",
            "city": "TITUSVILLE",
            "state": "PA",
            "postal_code": "163541655",
            "telephone_number": "814-827-7004",
            "fax_number": "814-827-4750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNOZ",
        "first_name": "MARIA",
        "middle_name": "LORDES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-27",
        "last_updated": "2007-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD051288L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015299780004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Titusville, PA

Sources for this page

Verify at the official NPI Registry.