Individual provider Active NPI

Charan Mungara, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Tampa, FL
National Provider Identifier
1649423872
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
ME127672 Issued in FL
Practice address
2 Tampa General Cir
Tampa, FL 33606-3571
Phone
(813) 821-8038
NPI assigned
Oct 31, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 11971 SD
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X ME127672 FL Primary

Addresses

Primary practice location

2 Tampa General Cir
Tampa, FL 33606-3571

Mailing address

PO Box 917770
Orlando, FL 32891-0001
Phone (813) 821-8038

Other practice location 1

353 Fairmont Blvd, Monument Health Rapid City Hospital
Rapid City, SD 57701-7375
Phone (205) 441-9459

Other identifiers 5

IdentifierTypeStateIssuer
000000727503OtherINANTHEM PROVIDER NUMBER
1649423872MedicaidWI
201029750MedicaidIN
113539900MedicaidFL
ZEZ5HOtherFLBCBS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cmungara416299@direct.tgh.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, WI, WY, SD, FL5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20131014001054 TN Practitioner - Cardiac Surgery 9537339411 Reassigns benefits to 1 organization
I20150420002267 WI Practitioner - Cardiac SurgeryPractitioner - Thoracic Surgery 9537339411 Reassigns benefits to 3 organizations
I20200710002899 WY Practitioner - Thoracic Surgery 9537339411 Reassigns benefits to 1 organization
I20200710002999 SD Practitioner - Thoracic Surgery 9537339411 Reassigns benefits to 1 organization
I20220302000880 FL Practitioner - Thoracic SurgeryPractitioner - Cardiac Surgery 9537339411 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Thoracic SurgeryAlso: Cardiac Surgery
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ocala Health Surgical Group LLCGroup PAC ID 4082787130, 51 clinicians

Practice addresses (Care Compare)

1511 SW 1St Ave
Ocala, FL 34471-6505
Phone (352) 629-1378

300 E 8TH St
Gordon Memorial Hosp
Gordon, NE 69343-1199
Phone (308) 282-0401

353 Fairmont Blvd
Rapid City, SD 57701-7375
Phone (605) 755-8109

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)40
Pacemaker insertion or repair1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11971SDMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ocala Health Surgical Group LLC Surgery CurrentSince Aug 1, 2025 Accepting new patients
Columbia St. Mary'S Hospital Milwaukee Inc CurrentSince Jun 1, 2016 Accepting new patients
The Medical College of Wisconsin, Inc. Surgery CurrentSince Jul 1, 2016 Accepting new patients
Columbia St. Mary'S Hospital Milwaukee, Inc CurrentSince Jun 1, 2016 Accepting new patients
Wellmont Cardiology Services Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Jan 13, 2014 Accepting new patients
Monument Health Rapid City Hospital, Inc CurrentSince Jul 20, 2020 Accepting new patients
Ascension Medical Group-Southeast Wisconsin Inc CurrentSince Jan 29, 2019 Accepting new patients
Monument Health Rapid City Hospital Inc CurrentSince Jul 20, 2020 Accepting new patients
Monument Health Rapid City Hospital, Inc. CurrentSince Jul 20, 2020 Accepting new patients
Monument Health Rapid City Hospital, Inc. Past Accepting new patients
CCSG LLC Thoracic Surgery (Cardiothoracic Vascular Surgery) Past Accepting new patients

Locations

1121 NW 64th Ter
Ste A
Gainesville, FL 32605
Phone (352) 331-6777

6500 W Newberry Rd
Gainesville, FL 32605
Phone (352) 333-4180

1511 SW 1st Ave
Ocala, FL 34471
Phone (352) 629-1378

4600 SW 46th Ct
Ste 250
Ocala, FL 34474
Phone (352) 291-2400

2101 Box Butte Ave
Alliance, NE 69301
Phone (308) 762-6660

300 E 8th St
Gordon, NE 69343
Phone (308) 282-0401

353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000

4150 5th St
Rapid City, SD 57701
Phone (605) 399-4300

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

2050 Meadowview Pkwy
Kingsport, TN 37660

13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400

19475 W North Ave
Ste 305
Brookfield, WI 53045
Phone (262) 780-4070

400 W River Woods Pkwy
Glendale, WI 53212
Phone (414) 465-3000

W180N8085 Town Hall Rd
Menomonee Fls, WI 53051
Phone (262) 257-5000

2700 W 9th Ave
Oshkosh, WI 54904
Phone (920) 223-0220

900 Illinois Ave
Stevens Point, WI 54481
Phone (715) 342-7500

13111 N Port Washington Rd
Thiensville, WI 53097
Phone (262) 243-7300

8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100

201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228

840 N 87th St
Wauwatosa, WI 53226
Phone (414) 805-5540

1155 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 955-5990

801 S 70th St
West Allis, WI 53214
Phone (414) 773-6600

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: cmungara@direct.iuhealth.org
  • Direct secure messaging: charan.mungara.1@4692.direct.athenahealth.com

Organizations & group practices 12

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 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1225411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1649423872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 917770",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328910001",
            "telephone_number": "813-821-8038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 TAMPA GENERAL CIR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336063571",
            "telephone_number": "813-821-8038"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "353 Fairmont Blvd, Monument Health Rapid City Hospital",
            "address_purpose": "LOCATION",
            "city": "Rapid City",
            "state": "SD",
            "postal_code": "577017375",
            "country_code": "US",
            "telephone_number": "205-441-9459",
            "fax_number": "605-755-0707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUNGARA",
        "first_name": "CHARAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-31",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "SD",
            "license": "11971",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "FL",
            "license": "ME127672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER NUMBER",
            "identifier": "000000727503",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1649423872",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201029750",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113539900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "ZEZ5H",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cmungara416299@direct.tgh.org",
            "affiliation": "N",
            "address_1": "2 Tampa General Cir",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336063571",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.