Shailaja Munagala

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5643020 Issued in WI

Practice address

1910 Alabama Street
Sturgeon Bay, WI 54235-3532

Phone

(920) 530-3502

NPI assigned

Jun 23, 2010

Last updated

Oct 15, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• County of San Joaquin

  dba San Joaquin General Hospital

  • General Acute Care Hospital
  • French Camp, CA
  • NPI 1801830583
  Medicare reassignment NPD
• San Joaquin Faculty Medical Group

  • Internal Medicine Physician
  • French Camp, CA
  • NPI 1225063761
  Medicare reassignment NPD
• County of San Joaquin

  dba San Joaquin County Clinic Manteca

  • Multi-Specialty Clinic/Center
  • Manteca, CA
  • NPI 1417407636
  NPD
• Delta Sierra Medical Group, Inc

  • Cardiovascular Disease Physician
  • French Camp, CA
  • NPI 1578598595
  NPD (past)

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

{
    "created_epoch": "1277251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350259200000",
    "number": "1538470604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 ALABAMA STREET",
            "city": "STURGEON BAY",
            "state": "WI",
            "postal_code": "542353532",
            "telephone_number": "920-530-5302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 ALABAMA STREET",
            "city": "STURGEON BAY",
            "state": "WI",
            "postal_code": "542353532",
            "telephone_number": "920-530-3502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNAGALA",
        "first_name": "SHAILAJA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-23",
        "last_updated": "2012-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "5643020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1538470604",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Moellendorf Chiropractic Office, LTD.
• Victoria Ann Mogen, DPT
• Katherine Rose Moore
• Seth Patrick Moore, APNP, NP-C, FNP-BC
• Kelsey Marie Morton
• Lauren Murphy
• Sharon Ann Murrock, RN, BSN, OCN
• Nelson Chiropractic Center LLC
• Erika Nelson, MS, LPC
• Melissa Virginia Nelson, D.C.

• Family Medicine Physician in Sturgeon Bay, WI
• Providers in Sturgeon Bay, WI by specialty
• Family Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.