NPIMap

Individual provider Active NPI

Charles Muncrief, D.O.

  • Diagnostic Radiology Physician
  • Powell, OH
National Provider Identifier
1528164746
Registry record updated Apr 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
34 007385 Issued in OH
Practice address
90 Village Pointe Dr
Powell, OH 43065-7760
Phone
(614) 791-1300
NPI assigned
Sep 15, 2006
Last updated
Apr 10, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 34 007385 OH Primary

Addresses

Primary practice location

90 Village Pointe Dr
Powell, OH 43065-7760

Mailing address

4817 Avondale Ridge Dr
Dublin, OH 43017-8623
Phone (614) 789-9345

Other identifiers 2

IdentifierTypeStateIssuer
300126993OtherOHRAILROAD MEDICARE - MOR
P00292383OtherOHRAILROAD MEDICARE UCI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060308000892 OH Practitioner - Diagnostic Radiology 5991712457 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Chicago College of Osteopathy, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid-Ohio Radiology, Inc.Group PAC ID 6800796012, 3 clinicians

Practice addresses (Care Compare)

500 London Ave
Marysville, OH 43040-5512
Phone (800) 686-4677

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34 007385OHMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Ohio Radiology, Inc. Diagnostic Radiology CurrentSince Jul 3, 2000 Accepting new patients
Ohio Imaging LLC Past Accepting new patients

Locations

600 N Pickaway St
Circleville, OH 43113
Phone (614) 352-6479

500 London Ave
Marysville, OH 43040
Phone (740) 420-8451

90 Village Pointe Dr
Powell, OH 43065
Phone (614) 791-1300

Organizations & group practices 2

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 8

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

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207785600000",
    "number": "1528164746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4817 AVONDALE RIDGE DR",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430178623",
            "telephone_number": "614-789-9345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 VILLAGE POINTE DR",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430657760",
            "telephone_number": "614-791-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNCRIEF",
        "first_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2008-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "34 007385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE - MOR",
            "identifier": "300126993",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE UCI",
            "identifier": "P00292383",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Powell, OH

Sources for this page

Verify at the official NPI Registry.