Maribel Yap Mamonluk-Chua, MD

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

MD 037327 Issued in DC

Practice address

1160 Varnum St NE
Suite008
Washington, DC 20017-2107

Phone

(202) 526-3897

Fax

(202) 526-7723

NPI assigned

Oct 24, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in DC

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

Specialty

Allergy/Immunology

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mamonluk Chua Medical Group, PCGroup PAC ID 0749344398, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

96.9 of 100Reported as group

Quality

93.71

Improvement activities

40

Cost

81.4

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EEJFAA/Endpoint/EEJFAA
• FHIR API: https://fhir4.healow.com/fhir/r4/EEJFAA

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.

• Mamonluk Chua Medical Group, PC

  • Internal Medicine Physician
  • Washington, DC
  • NPI 1295987436

  Allergy & Immunology

  Medicare reassignment Care Compare group NPD
• Green Valley Rural Clinics, LLC

  • Family Nurse Practitioner
  • Pikeville, KY
  • NPI 1962602821

  Allergy & Immunology

  NPD (past)

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234656000000",
    "number": "1518957307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 VARNUM ST NE",
            "address_2": "SUITE008",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200172107",
            "telephone_number": "202-526-3897",
            "fax_number": "202-526-7723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 VARNUM ST NE",
            "address_2": "SUITE008",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200172107",
            "telephone_number": "202-526-3897",
            "fax_number": "202-526-7723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAMONLUK-CHUA",
        "first_name": "MARIBEL",
        "middle_name": "YAP",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-24",
        "last_updated": "2009-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "DC",
            "license": "MD 037327",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0403203 00",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1518957307",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tirunesh G. Mamo
• Tsion Mamo
• Yemeserach W Mamo
• Dora M Mamodesene, MD
• Mamonluk Chua Medical Group, PC
• Diana Mamoud, OD
• Betty Mampuya
• Felicite Che Mamu Epse Nji Fru
• Dong Doe Man
• Nancy L Manahan, MD

• Allergy & Immunology Physician in Washington, DC
• Providers in Washington, DC by specialty
• Allergy & Immunology Physician in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2009; 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.

Verify at the official NPI Registry.