Munjerina Ahmd Munmun, M.D

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

D0083883 Issued in MD

Practice address

41900 Fenwick St Ste 1
Leonardtown, MD 20650-3815

Phone

(301) 475-8860

NPI assigned

Jun 20, 2014

Last updated

Apr 16, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Psychiatry

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rosecrance IncGroup PAC ID 3779656582, 33 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Rosecrance Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rockford, IL
  • NPI 1013289446

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Rosecrance Inc

  dba Rosecrance

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Moline, IL
  • NPI 1639892698
  NPD
• Rosecrance, Inc.

  • Substance Abuse Rehabilitation Facility
  • Champaign, IL
  • NPI 1912412453

  Single Specialty

  NPD

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

{
    "created_epoch": "1403222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555372800000",
    "number": "1295149920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41900 FENWICK ST STE 1",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206503815",
            "telephone_number": "301-475-8860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41900 FENWICK ST STE 1",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206503815",
            "telephone_number": "301-475-8860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNMUN",
        "first_name": "MUNJERINA",
        "middle_name": "AHMD",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-20",
        "last_updated": "2019-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MD",
            "license": "D0083883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danica Mottola
• Suzanne Marie Mower, PT
• Kathryne Moyer, PA
• Kelly Muldoon, LCPC, LCPAT, ATR-BC
• Sharan Mullen
• Katherine L Murphy, DNP, FNP-C
• Patricia Jane Murphy, LCSW-C
• Stephen F. Murray, D.C.
• Mark F Musket, PA-C
• Melissa Myers, MS, OTR/L

• Child & Adolescent Psychiatry Physician in Leonardtown, MD
• Providers in Leonardtown, MD by specialty
• Child & Adolescent Psychiatry Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.