Organization Active NPI

Miu Group LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lutherville Timonium, MD
National Provider Identifier
1396401022
Registry record updated Jun 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
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

Updated by the provider on Jun 14, 2022

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)CodeLicenseStatePrimary
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 Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
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 IDStateProvider typePAC IDDetails
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 Directory

Locations

57 W Timonium Rd
Ste 305
Timonium, MD 21093
Phone (443) 275-2068

Interoperability endpoints

  • FHIR API: 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.

Verify at the official NPI Registry.