Individual provider Active NPI

Jose C Muniz, MD

  • Allergy Physician
  • Frederick, MD
National Provider Identifier
1447249941
Registry record updated Apr 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
0720786 Issued in MD
Practice address
178 Thomas Johnson Dr
Suite 100
Frederick, MD 21702-4386
Phone
(301) 662-1244
NPI assigned
Oct 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X 0720786 MD Primary

Addresses

Primary practice location

178 Thomas Johnson Dr
Suite 100
Frederick, MD 21702-4386

Mailing address

178 Thomas Johnson Dr
Suite 100
Frederick, MD 21702-4386
Phone (301) 662-1244

Other identifiers 1

IdentifierTypeStateIssuer
188211200MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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 1

Enrollment IDStateProvider typePAC IDDetails
I20101130000390 MD Practitioner - Allergy/Immunology 1759333040 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
University of Connecticut School of Medicine, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Asthma and Allergy Center LLCGroup PAC ID 7719909639, 35 clinicians

Practice addresses (Care Compare)

161 Thomas Johnson Dr
Suite 150
Frederick, MD 21702-4314
Phone (301) 662-1244

208 Plumtree Rd
Suite B
Bel Air, MD 21015-6056
Phone (410) 638-1999

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0720786MDMDAllergy Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Asthma & Allergy Center LLC CurrentSince Sep 8, 2019 Accepting new patients
Allergy & Immunology, PLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1050 Northpoint Rd
Ste 201
Baltimore, MD 21224
Phone (410) 282-2903

208 Plumtree Rd
Ste B
Bel Air, MD 21015
Phone (410) 638-1999

161 Thomas Johnson Dr
Ste 150
Frederick, MD 21702
Phone (301) 662-1244

178 Thomas Johnson Dr
Ste 100
Frederick, MD 21702
Phone (301) 662-1244

1150 Omega Dr
Hagerstown, MD 21740

1838 Greene Tree Rd
Ste 260
Pikesville, MD 21208
Phone (410) 486-2000

14995 Shady Grove Rd
Ste 100
Rockville, MD 20850
Phone (301) 869-7820

844 Washington Rd
Westminster, MD 21157
Phone (410) 578-1094

144 S 8th St
Ste 110
Chambersburg, PA 17201
Phone (301) 869-7820

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.

NPI Registry JSON

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366675200000",
    "number": "1447249941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 THOMAS JOHNSON DR",
            "address_2": "SUITE 100",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024386",
            "telephone_number": "301-662-1244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 THOMAS JOHNSON DR",
            "address_2": "SUITE 100",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024386",
            "telephone_number": "301-662-1244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNIZ",
        "first_name": "JOSE",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-18",
        "last_updated": "2013-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "MD",
            "license": "0720786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "188211200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.