NPIMap

Individual provider Active NPI

Charles Murimi Mugera, M.D.,MSC, MRCP(UK)

  • Internal Medicine Physician
  • Clinton, MD
National Provider Identifier
1689938235
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0079655 Issued in MD
Practice address
7503 Surratts Rd
Clinton, MD 20735-3358
Phone
(410) 227-7261
NPI assigned
Jun 28, 2012
Last updated
Aug 29, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X D0079655 MD Primary

Addresses

Primary practice location

7503 Surratts Rd
Clinton, MD 20735-3358

Mailing address

7503 Surratts Rd
Clinton, MD 20735-3358
Phone (410) 227-7261

Other practice location 1

2131 Davidsonville Rd
Crofton, MD 21114-1632
Phone (410) 507-7617

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150922001512 DC Practitioner - Internal Medicine 7113234261 Reassigns benefits to 1 organization
I20160608002420 MD Practitioner - Internal Medicine 7113234261 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Luminis Health Medical Group, LLCGroup PAC ID 2860447315, 540 clinicians
Maryland Elder Care LLCGroup PAC ID 8628452836, 6 clinicians

Practice addresses (Care Compare)

2001 Medical Pkwy
Annapolis, MD 21401-3280
Phone (443) 481-1000

2003 Medical Pkwy
Annapolis, MD 21401-3081

2003 Medical Pkwy Wayson Pavillion
Advanced Internal Medicine Residenc
Annapolis, MD 21401-3081
Phone (443) 951-4286

2131 Davidsonville Rd
Crofton, MD 21114-1632
Phone (410) 507-7617

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0079655MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Luminis Health Medical Group, LLC CurrentSince May 30, 2016 Accepting new patients
Maryland Elder Care LLC Internal Medicine CurrentSince Aug 15, 2022 Accepting new patients
Luminis Health Medical Group, LLC Current Accepting new patients
Greater Baltimore Medical Center, Inc. Internal Medicine CurrentSince Oct 17, 2022 Accepting new patients
Medstar Medical Group II LLC CurrentSince Aug 2, 2015 Accepting new patients
Medstar Medical Group II LLC CurrentSince Aug 2, 2015 Accepting new patients
Greater Baltimore Medical Center, Inc. CurrentSince Oct 17, 2022 Accepting new patients
Luminis Health Medical Group, LLC Internal Medicine CurrentSince May 30, 2016 Accepting new patients
MGMC, LLC Current Accepting new patients
Greater Baltimore Medical Center, Inc Current Accepting new patients
Bay Manor Nursing Home, Inc. Past Accepting new patients
2131 Davidsonville Opco, LLC Past Accepting new patients
South Haven NH, LLC Past Accepting new patients

Locations

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

2003 Medical Pkwy
Ste 301
Annapolis, MD 21401
Phone (443) 481-3366

35 Milkshake Ln
Annapolis, MD 21403
Phone (410) 269-5100

7503 Surratts Rd
Clinton, MD 20735
Phone (301) 868-8000

2131 Davidsonville Rd
Crofton, MD 21114
Phone (301) 261-3637

1221 Waugh Chapel Rd
Gambrills, MD 21054
Phone (410) 923-2020

6565 N Charles St
Ste 203
Towson, MD 21204
Phone (410) 828-3760

6569 N Charles St
Ste 505
Towson, MD 21204
Phone (443) 849-2196

Interoperability endpoints

  • Direct secure messaging: cmugera62466@gbmcdirect.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Autumn Lake Healthcare at CroftonCrofton, MD, CCN 215120 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 May 10, 2017
May 10, 2017

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1340841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1689938235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7503 SURRATTS RD",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207353358",
            "telephone_number": "410-227-7261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7503 SURRATTS RD",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207353358",
            "telephone_number": "410-227-7261"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2131 Davidsonville Rd",
            "address_purpose": "LOCATION",
            "city": "Crofton",
            "state": "MD",
            "postal_code": "211141632",
            "country_code": "US",
            "telephone_number": "410-507-7617",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUGERA",
        "first_name": "CHARLES",
        "middle_name": "MURIMI",
        "name_prefix": "Dr.",
        "credential": "M.D.,MSC, MRCP(UK)",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-28",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0079655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, MD

Sources for this page

Verify at the official NPI Registry.