Organization Active NPI

Monimils LLC

  • Internal Medicine Physician
  • Waldorf, MD
National Provider Identifier
1679093561
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MONIMILS LLC
Practice address
605 Post Office Rd Ste 101
Waldorf, MD 20602-1913
Phone
(301) 494-1006
NPI assigned
Jun 22, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Yetunde SannohNPI 1871752717
Title
MD/Owner
Phone
(301) 494-1006

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

605 Post Office Rd Ste 101
Waldorf, MD 20602-1913

Mailing address

605 Post Office Rd Ste 101
Waldorf, MD 20602-1913
Phone (301) 494-1006

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20180326002655 MD Part B Supplier - Clinic/Group Practice 1759643034 Receives reassigned benefits from 1 practitioner
Practice locations: Waldorf, MD
O20180411002071 DC Part B Supplier - Clinic/Group Practice 1759643034 Receives reassigned benefits from 1 practitioner
Practice locations: Upper Marlboro, MD

National Provider Directory

National Provider Directory

Locations

9440 Pennsylvania Ave
Ste 201
Upper Marlboro, MD 20772

605 Post Office Rd
Ste 101
Waldorf, MD 20602
Phone (301) 494-1006

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16526/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1498089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1679093561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 POST OFFICE RD STE 101",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206021913",
            "telephone_number": "301-494-1006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 POST OFFICE RD STE 101",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206021913",
            "telephone_number": "301-494-1006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONIMILS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-22",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SANNOH",
        "authorized_official_first_name": "YETUNDE",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "301-494-1006"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldorf, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.