NPIMap

Individual provider Active NPI

Azka Munawar, MD

  • Psychiatry Physician
  • Little Rock, AR
National Provider Identifier
1518373802
Registry record updated Nov 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD465146 Issued in PA
Practice address
6834 Cantrell Rd Ste 1180
Little Rock, AR 72207-4135
Phone
(786) 309-5157
NPI assigned
Jul 8, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X E-13481 AR
Geriatric Psychiatry Physician 2084P0805X E-13481 AR
Student in an Organized Health Care Education/Training Program 390200000X MT207342 PA
Psychiatry Physician 2084P0800X MD465146 PA Primary

Addresses

Primary practice location

6834 Cantrell Rd Ste 1180
Little Rock, AR 72207-4135

Mailing address

6834 Cantrell Rd Ste 1180
Little Rock, AR 72207-4135
Phone (786) 309-5157

Other practice location 1

500 University Dr
Hershey, PA 17033-2360
Phone (717) 531-4344

Other practice location 2

500 University Dr
Hershey, PA 17033-2360
Phone (717) 531-4344

Other practice location 3

100 N Academy Ave
Danville, PA 17822
Phone (570) 271-6516

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address amunawar233492@direct.geisinger.edu Direct
Other URL 863-201-4398

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, AR2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200107003260 PA Practitioner - Psychiatry 0749560936 Reassigns benefits to 1 organization
I20201027001777 AR Practitioner - PsychiatryPractitioner - Geriatric Psychiatry 0749560936 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Geriatric Psychiatry
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Geisinger ClinicGroup PAC ID 5395657001, shared by 7 NPIs, 3,432 clinicians

Practice addresses (Care Compare)

Little Rock, AR 72211
Phone (570) 271-6144

100 N Academy Ave
Danville, PA 17822-9800
Phone (570) 271-6211

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger Clinic CurrentSince Dec 13, 2023 Accepting new patients
Geisinger Clinic CurrentSince Nov 12, 2019 Accepting new patients
Geisinger Clinic Current Accepting new patients
Geisinger Clinic CurrentSince Nov 12, 2019 Accepting new patients

Locations

100 N Academy Ave
Danville, PA 17822

500 University Dr
Hershey, PA 17033
Phone (717) 531-8181

Interoperability endpoints

  • Direct secure messaging: amunawar233492@direct.geisinger.edu

Organizations & group practices 4

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 46

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

View all 46

NPI Registry JSON

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

{
    "created_epoch": "1404777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604620800000",
    "number": "1518373802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6834 CANTRELL RD STE 1180",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722074135",
            "telephone_number": "786-309-5157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6834 CANTRELL RD STE 1180",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722074135",
            "telephone_number": "786-309-5157"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 University Dr",
            "address_purpose": "LOCATION",
            "city": "Hershey",
            "state": "PA",
            "postal_code": "170332360",
            "country_code": "US",
            "telephone_number": "717-531-4344",
            "fax_number": "717-531-6491",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 University Dr",
            "address_purpose": "LOCATION",
            "city": "Hershey",
            "state": "PA",
            "postal_code": "170332360",
            "country_code": "US",
            "telephone_number": "717-531-4344",
            "fax_number": "717-531-6491",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 N Academy Ave",
            "address_purpose": "LOCATION",
            "city": "Danville",
            "state": "PA",
            "postal_code": "17822",
            "country_code": "US",
            "telephone_number": "570-271-6516",
            "fax_number": "570-271-5814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUNAWAR",
        "first_name": "AZKA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-08",
        "last_updated": "2020-11-06",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AR",
            "license": "E-13481",
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "AR",
            "license": "E-13481",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": "MT207342",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD465146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amunawar233492@direct.geisinger.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "100 N Academy Ave",
            "city": "Danville",
            "state": "PA",
            "country_code": "US",
            "postal_code": "17822",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "863-201-4398",
            "affiliation": "N",
            "endpointDescription": "Fax",
            "address_1": "6834 Cantrell Rd Ste 1180",
            "city": "Little Rock",
            "state": "AR",
            "country_code": "US",
            "postal_code": "722074135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.