Active NPI
Luis Carlos Munoz, PHYSICIAN ASSISTANT
- Surgical Physician Assistant
- Valhalla, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 019391
- Practice address
- 100 Woods Rd # a
Valhalla, NY 10595-1530 - Phone
- (914) 493-7000
- Fax
- (914) 493-2505
- NPI assigned
- Dec 21, 2015
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 019391 | NY | |
| Surgical Physician Assistant | 363AS0400X | 019391 | NY | Primary |
Addresses
Primary practice location
100 Woods Rd # a
Valhalla, NY 10595-1530
Mailing address
19 Bradhurst Ave Ste 3100N
Hawthorne, NY 10532-2140
Phone (914) 909-9018
Other practice location 1
26 Marshall Rd
Yonkers, NY 10705-2530
Phone (914) 506-0134
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 019391 | Other | NY | NYS LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2015
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
8446 S Harrison St
Midvale, UT 84047-3501
Phone (801) 417-0131
9103 S 1300
West Jordan, UT 84088-6709
Phone (801) 417-0131
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.4 of 100
- Quality
- 93.33
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.21
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019391 | NY | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Westchester Medical Center Advanced Physician Services PC | Current | Accepting new patients | |
| Montefiore Medical Center | Current | Accepting new patients | |
| Westchester Medical Center Advanced Physician Services, PC | Current | Accepting new patients | |
| Utah Partners for Health | Current | Accepting new patients | |
| Montefiore Medical Center | Current | Accepting new patients |
Locations
111 E 210th St
Bronx, NY 10467
19 Bradhurst Ave
Ste 3100N
Hawthorne, NY 10532
Phone (914) 231-8373
100 Woods Rd
#A
Valhalla, NY 10595
95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961
7651 S Main St
Midvale, UT 84047
Phone (801) 255-5814
8446 S Harrison St
Midvale, UT 84047
Phone (801) 417-0131
9103 S 1300 W
Ste 102
West Jordan, UT 84088
Phone (801) 208-2070
Interoperability endpoints
- luis.munoz.1@13794.direct.athenahealth.com
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 and National Provider Directory roles.
-
- Clinic/Center
- Midvale, UT
- NPI 1508299892
-
- Anesthesiology Physician
- Bronx, NY
- NPI 1063525152
-
- Surgery Physician
- Valhalla, NY
- NPI 1912131392
-
- Family Medicine Physician
- Magna, UT
- NPI 1306952783
-
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1194183715
-
- Anesthesiology Physician
- Valhalla, NY
- NPI 1740687458
-
- Community/Retail Pharmacy
- West Jordan, UT
- NPI 1861068082
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546992000000",
"number": "1487019279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 BRADHURST AVE STE 3100N",
"city": "HAWTHORNE",
"state": "NY",
"postal_code": "105322140",
"telephone_number": "914-909-9018",
"fax_number": "914-909-9028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 WOODS RD # A",
"city": "VALHALLA",
"state": "NY",
"postal_code": "105951530",
"telephone_number": "914-493-7000",
"fax_number": "914-493-2505"
}
],
"practiceLocations": [
{
"address_1": "26 Marshall Rd",
"address_purpose": "LOCATION",
"city": "Yonkers",
"state": "NY",
"postal_code": "107052530",
"country_code": "US",
"telephone_number": "914-506-0134",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MUNOZ",
"first_name": "LUIS",
"middle_name": "CARLOS",
"name_prefix": "Mr.",
"credential": "PHYSICIAN ASSISTANT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-12-21",
"last_updated": "2019-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "019391",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "NY",
"license": "019391",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NYS LICENSE",
"identifier": "019391",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Valhalla, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2019; 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.