Innocent Monya-Tambi, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0101254880 Issued in VA

Practice address

1709 Rosemont Ave
Frederick, MD 21702-4135

Phone

(301) 624-5999

Fax

(301) 624-5997

NPI assigned

Jan 4, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 8

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Enrolled in MD, VA, DC3 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 3

Specialty

General SurgeryAlso: Emergency Medicine

Education

Howard University College of Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

MNR Industries, LLCGroup PAC ID 7416908843, 142 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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.

• MNR Industries, LLC

  dba ExpressCare of Bel Air

  • Urgent Care Clinic/Center
  • Bel Air, MD
  • NPI 1457478703
  Medicare reassignment Care Compare group NPD
• Johns Hopkins Community Physicians, Inc

  • Internal Medicine Physician
  • Baltimore, MD
  • NPI 1578598868
  Medicare reassignment NPD
• Medstar Medical Group II LLC

  • General Practice Physician
  • Baltimore, MD
  • NPI 1184046187
  Medicare reassignment NPD
• MNR Industries, LLC

  dba ExpressCare of Bowie

  • Urgent Care Clinic/Center
  • Bowie, MD
  • NPI 1093130924

  DC

  Medicare reassignment NPD
• Blue Ridge Medical Management Corporation

  dba Ballad Health Medical Associates

  • Cardiovascular Disease Physician
  • Marion, VA
  • NPI 1326159567
  Medicare reassignment NPD
• Tambi Medical LLC

  • Primary Care Clinic/Center
  • Alexandria, VA
  • NPI 1336866763
  NPD Authorized official
• Frederick Family Medical Clinic

  • Internal Medicine Physician
  • Frederick, MD
  • NPI 1821585621
  Authorized official Same address or phone
• Jarrett Corporation

  dba Frederick Family Medical Clinic

  • Primary Care Clinic/Center
  • Frederick, MD
  • NPI 1285006288
  Authorized official Same address or phone
• Johns Hopkins Community Physicians

  dba JHCP- 6225 Smith Avenue; Mental Health Therapy

  • Clinical Social Worker
  • Baltimore, MD
  • NPI 1356161806

  Internal Medicine

  NPD
• Johns Hopkins Community Physicians, Inc

  dba JHCP Johns Hopkins Healthcare

  • Internal Medicine Physician
  • Baltimore, MD
  • NPI 1720540925
  NPD
• MNR Industries LLC

  dba ExpressCare of Mount Airy

  • Urgent Care Clinic/Center
  • Mount Airy, MD
  • NPI 1073963146
  NPD
• MNR Industries, LLC

  • Urgent Care Clinic/Center
  • Bel Air, MD
  • NPI 1649089418
  NPD

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

{
    "created_epoch": "1199404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1386829679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1709 ROSEMONT AVE",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024135",
            "telephone_number": "301-624-5999",
            "fax_number": "301-624-5997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1709 ROSEMONT AVE",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024135",
            "telephone_number": "301-624-5999",
            "fax_number": "301-624-5997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONYA-TAMBI",
        "first_name": "INNOCENT",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-04",
        "last_updated": "2023-03-07",
        "certification_date": "2021-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "FM4237942",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "FM3900518",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "265253",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD448694",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "M80945",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0076463",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "FM4310683",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101254880",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "265253",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "MD448694",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "0101254880",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONTROLLED SUBSTANCE LICENSE",
            "identifier": "M80945",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1386829679",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q012138",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "D0076463",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Montclaire Medical Practice LLC
• Montclaire Physical Therapy, LLC
• Sofia Monteblanco, DO
• Laine Montgomery Cornelison, MD
• Trisha N Montgomery, RN
• Kaylee Moody, CRNP
• Emily Mooney, LCPC
• Zachary Mooney, LCPC
• Kayla Nicole Moore
• Petra Moore

• Internal Medicine Physician in Frederick, MD
• Providers in Frederick, MD by specialty
• Internal Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.