Individual provider Active NPI

Maria-Perez Agin Muoghalu, M.B.B.S

  • Internal Medicine Physician
  • Flushing, NY
National Provider Identifier
1538430301
Registry record updated Apr 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD043776 Issued in DC
Practice address
4500 Parsons Blvd
Dept of Medicine
Flushing, NY 11355-2205
Phone
(718) 670-5000
Fax
(718) 670-4510
NPI assigned
Jan 25, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2016

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X M-12122 ID
Hospitalist Physician 208M00000X M-12122 ID
Hospitalist Physician 208M00000X 271722 NY
Internal Medicine Physician 207R00000X 35.121849 OH
Internal Medicine Physician 207R00000X D077370 MD
Internal Medicine Physician 207R00000X MD043776 DC Primary

Addresses

Primary practice location

4500 Parsons Blvd
Dept of Medicine
Flushing, NY 11355-2205

Mailing address

3827 Dunsinane Dr
Silver Spring, MD 20906-2649
Phone (202) 509-2851

Other names 1

  • Dr. Maria-Perez Agin Buba Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150309001107 DC Practitioner - Internal Medicine 6103051362 Reassigns benefits to 3 organizations
I20160520001382 MD Practitioner - Internal Medicine 6103051362 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians

Practice addresses (Care Compare)

9000 Franklin Square Dr
Baltimore, MD 21237-3901
Phone (443) 777-7000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.34 of 100Reported as group
Quality
67.9
Promoting interoperability
100
Improvement activities
40
Cost
69.47

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD043776DCMDInternal Medicine Physician
D077370MDMDInternal Medicine Physician
35.121849OHMDInternal Medicine Physician
271722NYMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Maryland PC Internal Medicine CurrentSince Mar 1, 2015 Accepting new patients
Medstar Medical Group II LLC CurrentSince Jul 1, 2021 Accepting new patients
WHC Physician Group LLC CurrentSince Mar 22, 2016 Accepting new patients
WHC Emerg Phys CurrentSince Mar 22, 2016 Accepting new patients
Medstar Medical Group II LLC CurrentSince Mar 12, 2017 Accepting new patients
Hospitalist Medicine Physicians of Maryland PC Internal Medicine CurrentSince Mar 1, 2015 Accepting new patients
MGMC, LLC CurrentSince Mar 12, 2017 Accepting new patients

Locations

110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000

3800 Reservoir Rd NW
Washington, DC 20007
Phone (202) 687-2203

1406 Crain Hwy S
Ste 106
Glen Burnie, MD 21061
Phone (410) 768-6440

3001 Hospital Dr
Hyattsville, MD 20785
Phone (301) 618-2000

18101 Prince Philip Dr
Ste 319
Olney, MD 20832

18101 Prince Philip Dr
Olney, MD 20832
Phone (301) 774-8618

9000 Franklin Square Dr
Rosedale, MD 21237
Phone (410) 682-7000

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.

Hospital & facility affiliations 1

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": "1327449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461628800000",
    "number": "1538430301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3827 DUNSINANE DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209062649",
            "telephone_number": "202-509-2851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 PARSONS BLVD",
            "address_2": "DEPT OF MEDICINE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113552205",
            "telephone_number": "718-670-5000",
            "fax_number": "718-670-4510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUOGHALU",
        "first_name": "MARIA-PEREZ",
        "middle_name": "AGIN",
        "name_prefix": "Dr.",
        "credential": "M.B.B.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-25",
        "last_updated": "2016-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ID",
            "license": "M-12122",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "ID",
            "license": "M-12122",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NY",
            "license": "271722",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.121849",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D077370",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DC",
            "license": "MD043776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA-PEREZ",
            "last_name": "BUBA",
            "middle_name": "AGIN",
            "prefix": "DR.",
            "credential": "M.B.B.S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.