Individual provider Active NPI

Luis Carlos Munoz, PHYSICIAN ASSISTANT

  • Surgical Physician Assistant
  • Valhalla, NY
National Provider Identifier
1487019279
Registry record updated Jan 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
019391 Issued in NY
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

Updated by the provider on Jan 9, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
019391OtherNYNYS LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, UT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160829000189 NY Practitioner - Physician Assistant 0446545578 Reassigns benefits to 2 organizations
I20230608003079 UT Practitioner - Physician Assistant 0446545578 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Utah Partners for HealthGroup PAC ID 8224262480, 9 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
019391NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Westchester Medical Center Advanced Physician Services PC CurrentSince Jan 10, 2019 Accepting new patients
Montefiore Medical Center CurrentSince Jun 17, 2016 Accepting new patients
Westchester Medical Center Advanced Physician Services, PC CurrentSince Jan 10, 2019 Accepting new patients
Utah Partners for Health CurrentSince Jun 1, 2025 Accepting new patients
Montefiore Medical Center CurrentSince Jun 17, 2016 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.