Individual provider Active NPI

Munira Charania, MD

  • Diagnostic Radiology Physician
  • Maywood, IL
National Provider Identifier
1609000124
Registry record updated Sep 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
036113708 Issued in IL
Practice address
2160 S 1St Ave
Maywood, IL 60153-3328
Phone
(708) 216-9000
NPI assigned
May 12, 2009
Last updated
Sep 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 061832 GA
Diagnostic Radiology Physician 2085R0202X 036113708 IL Primary

Addresses

Primary practice location

2160 S 1St Ave
Maywood, IL 60153-3328

Mailing address

1431 Centerpoint Blvd
Suite 100
Knoxville, TN 37932-1984
Phone (800) 599-1999

Other practice location 1

1431 Centerpoint Blvd
Suite 100
Knoxville, TN 37932-1984
Phone (800) 599-1999 ext. 7185

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address MCHARANIA163368@DIRECT.LUHS.ORG Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, TN, IL3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20100315000702 GA Practitioner - Diagnostic Radiology 5799810800 Reassigns benefits to 2 organizations
I20190903001104 TN Practitioner - Diagnostic Radiology 5799810800 Reassigns benefits to 1 organization
I20220829001648 IL Practitioner - Diagnostic Radiology 5799810800 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Radiology of Georgia LLCGroup PAC ID 8527357656, 3 clinicians
Loyola University Medical CenterGroup PAC ID 3779488903, 917 clinicians

Practice addresses (Care Compare)

1040 Eagles Landing Pkwy
Suite 102
Stockbridge, GA 30281-9073
Phone (404) 419-2058

2160 S 1St Ave
Maywood, IL 60153-3328
Phone (708) 216-9000

3547 Peachtree Industrial Blvd
Duluth, GA 30096-1419
Phone (770) 299-1332

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
061832GAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Loyola University Medical Center CurrentSince Jul 12, 2022 Accepting new patients
Loyola University Medical Center CurrentSince Jul 12, 2022 Accepting new patients
Elite Radiology of Georgia, LLC Diagnostic Radiology CurrentSince Dec 4, 2020 Accepting new patients
Loyola University Medical Center Current Accepting new patients
Port City Operating Company, LLC Past Accepting new patients
Doshi Diagnostic Imaging Services PC Diagnostic Radiology Past Accepting new patients

Locations

4800 Ashford Dunwoody Rd
Ste 140
Atlanta, GA 30338
Phone (404) 419-2058

1458 Church St
Ste D
Decatur, GA 30030
Phone (404) 419-2058

2623 N Decatur Rd
Decatur, GA 30033

3547 Peachtree Industrial Blvd
Duluth, GA 30096
Phone (312) 929-8662

939 Bob Arnold Blvd
Ste C
Lithia Springs, GA 30122
Phone (404) 946-2885

790 Church St NE
Ste 105
Marietta, GA 30060
Phone (470) 462-0134

790 Church St NE
Ste 150
Marietta, GA 30060
Phone (770) 422-4268

1040 Eagles Landing Pkwy
Ste 102
Stockbridge, GA 30281
Phone (404) 419-2058

500 W Court St
Kankakee, IL 60901
Phone (800) 585-4119

2160 S 1st Ave
Maywood, IL 60153
Phone (708) 216-4400

17901 La Grange Rd
Ste 2000
Tinley Park, IL 60487
Phone (708) 327-8300

Organizations & group practices 8

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 6

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": "1242086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661990400000",
    "number": "1609000124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 CENTERPOINT BLVD",
            "address_2": "SUITE 100",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379321984",
            "telephone_number": "800-599-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 S 1ST AVE",
            "city": "MAYWOOD",
            "state": "IL",
            "postal_code": "601533328",
            "telephone_number": "708-216-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1431 Centerpoint Blvd",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379321984",
            "country_code": "US",
            "telephone_number": "800-599-1999 x7185",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHARANIA",
        "first_name": "MUNIRA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-12",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "061832",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036113708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MCHARANIA163368@DIRECT.LUHS.ORG",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2160 S 1st Ave",
            "city": "Maywood",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601533328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Maywood, IL

Sources for this page

Verify at the official NPI Registry.