Active NPI
Christopher Simon Monnikendam, MD
- Neonatal-Perinatal Medicine Physician
- Kissimmee, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- ME159845
- Practice address
- 400 Celebration PL
Kissimmee, FL 34747-4970 - Phone
- (407) 303-2528
- Fax
- (407) 303-2760
- NPI assigned
- Sep 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | MD475273 | PA | |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 0101266017 | VA | |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | ME159845 | FL | Primary |
Addresses
Primary practice location
400 Celebration PL
Kissimmee, FL 34747-4970
Mailing address
817 Satinwood CT
Chesapeake, VA 23322-5882
Phone (501) 213-7303
Other practice location 1
1701 Innovation Dr
York, PA 17408-8815
Phone (757) 953-3004
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06070017800 | Other | AR | QUALCHOICE |
| P00406126 | Other | AR | RAILROAD MEDICARE |
| 163014001 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, PA, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Hospital Medical Group Inc | Current | Accepting new patients | |
| Pinnacle Health Medical Services | Current | Accepting new patients | |
| Childrens Specialty Group PLLC | Current | Accepting new patients | |
| Pinnacle Health Medical Services | Current | Accepting new patients | |
| Florida Hospital Medical Group Inc | Current | Accepting new patients | |
| Pinnacle Health Medical Services | Current | Accepting new patients | |
| Upmc Memorial | Past | Accepting new patients |
Locations
400 Celebration Pl
Kissimmee, FL 34747
Phone (407) 303-4000
2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700
2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100
1701 Innovation Dr
York, PA 17408
Phone (717) 843-8623
601 Childrens Ln
Norfolk, VA 23507
Phone (757) 668-7272
Interoperability endpoints
- cmonnikendam71539@epicdirect.hf.org
- cmonnikendam1244446@adventhealth.direct-ci.com
- cmonnikendam297206@upmc.direct-ci.com
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Orlando, FL
- NPI 1225034234
-
- Pediatrics Physician
- Norfolk, VA
- NPI 1255354130
-
- Family Medicine Physician
- Harrisburg, PA
- NPI 1932143427
-
- Gastroenterology Physician
- Newport News, VA
- NPI 1194929026
-
- Prosthetic/Orthotic Supplier
- Minneola, FL
- NPI 1285591545
-
- Gastroenterology Physician
- Mechanicsburg, PA
- NPI 1295552073
-
- Family Medicine Physician
- Harrisburg, PA
- NPI 1811928310
-
- General Acute Care Hospital
- York, PA
- NPI 1063945707
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715126400000",
"number": "1730270935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "817 SATINWOOD CT",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233225882",
"telephone_number": "501-213-7303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 CELEBRATION PL",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347474970",
"telephone_number": "407-303-2528",
"fax_number": "407-303-2760"
}
],
"practiceLocations": [
{
"address_1": "1701 Innovation Dr",
"address_purpose": "LOCATION",
"city": "York",
"state": "PA",
"postal_code": "174088815",
"country_code": "US",
"telephone_number": "757-953-3004",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MONNIKENDAM",
"first_name": "CHRISTOPHER",
"middle_name": "SIMON",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-27",
"last_updated": "2024-05-08",
"certification_date": "2024-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "PA",
"license": "MD475273",
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "VA",
"license": "0101266017",
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "FL",
"license": "ME159845",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "QUALCHOICE",
"identifier": "06070017800",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00406126",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "163014001",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; 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.