Individual provider Active NPI

M. Ohn Maung, MD

  • Internal Medicine Physician
  • Fredericksburg, VA
National Provider Identifier
1295722866
Registry record updated May 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101233399 Issued in VA
Practice address
3920 Plank Rd
Suite 100
Fredericksburg, VA 22407-7104
Phone
(540) 786-1990
Fax
(540) 786-1997
NPI assigned
Sep 29, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2012

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 0101233399 VA Primary

Addresses

Primary practice location

3920 Plank Rd
Suite 100
Fredericksburg, VA 22407-7104

Mailing address

PO Box 42119
Fredericksburg, VA 22404-2119
Phone (703) 731-1915

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, MP2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080616000529 VA Practitioner - HospitalistPractitioner - Internal Medicine 3173694379 Reassigns benefits to 1 organization
I20200624000133 MP Practitioner - Internal Medicine 3173694379 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Associates P.a., P.C. Internal Medicine CurrentSince Nov 13, 2019 Accepting new patients
Emergency Medicine Associates, P.a.,P.C. Internal Medicine CurrentSince Nov 13, 2019 Accepting new patients
Commonwealth Healthcare Corporation CurrentSince May 21, 2020 Accepting new patients
Commonwealth Healthcare Corporation CurrentSince May 21, 2020 Accepting new patients

Locations

100 Fairview Dr
Franklin, VA 23851
Phone (757) 516-1153

15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000

101 Harris Rd
Kilmarnock, VA 22482
Phone (804) 435-0997

8700 Sudley Rd
Manassas, VA 20110
Phone (703) 369-8000

Organizations & group practices 4

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": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336435200000",
    "number": "1295722866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 42119",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224042119",
            "telephone_number": "703-731-1915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 PLANK RD",
            "address_2": "SUITE 100",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224077104",
            "telephone_number": "540-786-1990",
            "fax_number": "540-786-1997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAUNG",
        "first_name": "M.",
        "middle_name": "OHN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-29",
        "last_updated": "2012-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101233399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.