Active NPI
Miu Group LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Lutherville Timonium, MD
National Provider Identifier
1396401022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- MIU GROUP LLC
- Practice address
- 57 W Timonium Rd Ste 305
Lutherville Timonium, MD 21093-3106 - Phone
- (860) 573-8109
- NPI assigned
- Nov 17, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Munachim Uyanwune, M.D.
- Title
- Owner
- Phone
- (443) 275-2068
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
57 W Timonium Rd Ste 305
Lutherville Timonium, MD 21093-3106
Mailing address
57 W Timonium Rd Ste 305
Lutherville Timonium, MD 21093-3106
Phone (443) 275-2068
Other names 1
- MIU Center
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | admin@miucentermd.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220606001187 | MD | Part B Supplier - Clinic/Group Practice | 8527446418 |
Receives reassigned benefits from 3 practitioners Practice locations: Lutherville Timonium, MD |
National Provider Directory
National Provider DirectoryLocations
57 W Timonium Rd
Ste 305
Timonium, MD 21093
Phone (443) 275-2068
Interoperability endpoints
- https://api.platform.athenahealth.com/25239/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637107200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1655164800000",
"number": "1396401022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "57 W TIMONIUM RD STE 305",
"city": "LUTHERVILLE TIMONIUM",
"state": "MD",
"postal_code": "210933106",
"telephone_number": "443-275-2068",
"fax_number": "833-907-2413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "57 W TIMONIUM RD STE 305",
"city": "LUTHERVILLE TIMONIUM",
"state": "MD",
"postal_code": "210933106",
"telephone_number": "860-573-8109"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIU GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-11-17",
"last_updated": "2022-06-14",
"certification_date": "2022-06-14",
"status": "A",
"authorized_official_last_name": "UYANWUNE",
"authorized_official_first_name": "MUNACHIM",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "443-275-2068",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "admin@miucentermd.com",
"affiliation": "N",
"endpointDescription": "Office email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "57 W Timonium Rd Ste 305",
"city": "Lutherville Timonium",
"state": "MD",
"country_code": "US",
"postal_code": "210933106",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "MIU Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "MIU Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lutherville Timonium, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.