Individual provider Active NPI

Meghan Kathleen Munisteri, D.O

  • Obstetrics & Gynecology Physician
  • Fort Cavasos, TX
National Provider Identifier
1235633843
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
E-20927 Issued in AR
Practice address
590 Medical Center Road
Fort Cavasos, TX 76544
Phone
(254) 258-5866
NPI assigned
Mar 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 0102205958 VA
Obstetrics & Gynecology Physician 207V00000X 0102205958 VA
Obstetrics & Gynecology Physician 207V00000X E-20927 AR Primary

Addresses

Primary practice location

590 Medical Center Road
Fort Cavasos, TX 76544

Mailing address

Carl Darnall Medical Center
590 Medical Center Road
Fort Cavasos, TX 76544

Other practice location 1

6119 Midtown Ave
Little Rock, AR 72205-5313
Phone (501) 296-1800

Other identifiers 1

IdentifierTypeStateIssuer
0102205958MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230217000225 MO Order and Referring Only - Obstetrics/GynecologyPractitioner - Obstetrics/Gynecology 0547632754

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0102205958VAMDObstetrics & Gynecology Physician

NPI Registry JSON

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

{
    "created_epoch": "1521417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1235633843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CARL DARNALL MEDICAL CENTER",
            "address_2": "590 MEDICAL CENTER ROAD",
            "city": "FORT CAVASOS",
            "state": "TX",
            "postal_code": "76544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 MEDICAL CENTER ROAD",
            "city": "FORT CAVASOS",
            "state": "TX",
            "postal_code": "76544",
            "telephone_number": "254-258-5866"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6119 Midtown Ave",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722055313",
            "country_code": "US",
            "telephone_number": "501-296-1800",
            "fax_number": "501-296-1711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUNISTERI",
        "first_name": "MEGHAN",
        "middle_name": "KATHLEEN",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-19",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "VA",
            "license": "0102205958",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0102205958",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AR",
            "license": "E-20927",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0102205958",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Cavasos, TX

Sources for this page

Verify at the official NPI Registry.