Individual provider Active NPI

Johnathon R Munoz, MD

  • Emergency Medicine Physician
  • Sedona, AZ
National Provider Identifier
1417926056
Registry record updated Apr 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
52306 Issued in AZ
Practice address
3700 W State Route 89a
Sedona, AZ 86336-4937
Phone
(928) 204-4100
Fax
(928) 204-4115
NPI assigned
Mar 16, 2006
Last updated
Apr 16, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X ME 113250 FL
Emergency Medicine Physician 207P00000X 52306 AZ Primary

Addresses

Primary practice location

3700 W State Route 89a
Sedona, AZ 86336-4937

Mailing address

1200 N Beaver St
Flagstaff, AZ 86001-3118
Phone (928) 213-6235

Other identifiers 2

IdentifierTypeStateIssuer
009998225MedicaidAL
051529486OtherBLUE CROSS BLUE SHIELD

Other names 1

  • Dr. Johnny R Munoz Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, AZ2 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
I20050705000737 AL Practitioner - Family PracticePractitioner - Emergency Medicine 5092751644 Reassigns benefits to 1 organization
I20160928000358 AZ Practitioner - Emergency MedicinePractitioner - Family Practice 5092751644 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Family Practice
Education
University of South Alabama College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Group of Arizona Professional CorporationGroup PAC ID 1355596644, 102 clinicians

Practice addresses (Care Compare)

13677 W McDowell Rd
Goodyear, AZ 85395-2635
Phone (623) 882-1500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.13 of 100Reported as group
Quality
66.85
Promoting interoperability
99
Improvement activities
40
Cost
74.4

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 113250FLMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Acute Medical Services 1 PC CurrentSince Jul 6, 2022 Accepting new patients
Mountain Vista Emergency Physicians, LLC Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
Emergency Group of Arizona Professional Corporation Emergency Medicine CurrentSince Sep 1, 2016 Accepting new patients
Emergency Services of Montgomery PC Emergency Medicine CurrentSince May 1, 2013 Accepting new patients
Arizona Post-Acute Medical Services 1 PC Past Accepting new patients
Montgomery Women's Primary Care Center, LLC Past Accepting new patients
Southwest Alabama Emergency Physicians, LLC Emergency Medicine Past Accepting new patients

Locations

2105 E South Blvd
Montgomery, AL 36116
Phone (334) 286-2842

400 Taylor Rd
Montgomery, AL 36117
Phone (334) 213-6287

124 S Memorial Dr
Prattville, AL 36067
Phone (334) 361-4267

5227 E Carefree Hwy
Cave Creek, AZ 85331
Phone (602) 824-3900

269 S Candy Ln
Cottonwood, AZ 86326
Phone (928) 634-2251

4545 N Hunt Hwy
Florence, AZ 85132
Phone (480) 258-6100

13677 W McDowell Rd
Goodyear, AZ 85395
Phone (623) 536-4200

1301 S Crismon Rd
Mesa, AZ 85209
Phone (480) 358-6300

5750 E Baseline Rd
Mesa, AZ 85206
Phone (602) 246-5797

1800 E Van Buren St
Phoenix, AZ 85006
Phone (602) 251-8100

1930 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 532-1000

3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000

16815 W Bell Rd
Surprise, AZ 85374
Phone (623) 244-2400

Organizations & group practices 7

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618531200000",
    "number": "1417926056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N BEAVER ST",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013118",
            "telephone_number": "928-213-6235",
            "fax_number": "928-213-6292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 W STATE ROUTE 89A",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "863364937",
            "telephone_number": "928-204-4100",
            "fax_number": "928-204-4115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNOZ",
        "first_name": "JOHNATHON",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2021-04-16",
        "certification_date": "2021-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME 113250",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "52306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009998225",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "051529486",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHNNY",
            "last_name": "MUNOZ",
            "middle_name": "R",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sedona, AZ

Sources for this page

Verify at the official NPI Registry.