Active NPI
David Monaghan, M.D.
- Anesthesiology Physician
- Tupelo, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 24367
- Practice address
- 830 S Gloster St
Tupelo, MS 38801-4934 - Phone
- (662) 377-4394
- Fax
- (662) 377-7045
- NPI assigned
- Jun 29, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | T-2580 | MS | |
| Anesthesiology Physician | 207L00000X | 24367 | MS | Primary |
Addresses
Primary practice location
830 S Gloster St
Tupelo, MS 38801-4934
Mailing address
PO Box 3294
Tupelo, MS 38803-3294
Phone (662) 377-4394
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| T-2580 | Other | MS | TEMPORARY MEDICAL LICENSE |
| 24367 | Other | MS | MISSISSIPPI BOARD OF MEDICAL LICENSURE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160819001053 | MS | Practitioner - Anesthesiology | 1153640156 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of Mississippi School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1211 S Gloster St
Suite B
Tupelo, MS 38801-6548
Phone (662) 432-1490
Hospital & facility affiliations
- North Mississippi Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24367 | MS | MD | Anesthesiology Physician |
| T-2580 | MS | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monroe Health Services, Inc. | Current | Accepting new patients | |
| Tupelo Anesthesia Group PA | Anesthesiology | Current | Accepting new patients |
| Monroe Health Services, Inc. | Anesthesiology | Current | Accepting new patients |
Locations
1105 Earl Frye Blvd
Amory, MS 38821
Phone (662) 256-7111
723 Concordia Ave
Ste 201
Oxford, MS 38655
Phone (662) 432-1490
589 Garfield St
Tupelo, MS 38801
Phone (601) 680-5565
830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136
1211 S Gloster St
Ste B
Tupelo, MS 38801
Phone (662) 266-1670
Organizations & group practices 3
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.
-
- Surgery Physician
- Amory, MS
- NPI 1386433860
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tupelo, MS
- NPI 1598875460
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466553600000",
"number": "1396009783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3294",
"city": "TUPELO",
"state": "MS",
"postal_code": "388033294",
"telephone_number": "662-377-4394",
"fax_number": "662-377-7045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "830 S GLOSTER ST",
"city": "TUPELO",
"state": "MS",
"postal_code": "388014934",
"telephone_number": "662-377-4394",
"fax_number": "662-377-7045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONAGHAN",
"first_name": "DAVID",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-06-29",
"last_updated": "2016-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MS",
"license": "T-2580",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MS",
"license": "24367",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEMPORARY MEDICAL LICENSE",
"identifier": "T-2580",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MISSISSIPPI BOARD OF MEDICAL LICENSURE",
"identifier": "24367",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tupelo, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2016; 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.