Individual provider Active NPI

Christopher Simon Monnikendam, MD

  • Neonatal-Perinatal Medicine Physician
  • Kissimmee, FL
National Provider Identifier
1730270935
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
ME159845 Issued in FL
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

Updated by the provider on May 8, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
06070017800OtherARQUALCHOICE
P00406126OtherARRAILROAD MEDICARE
163014001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, PA, FL3 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
I20190620000496 VA Practitioner - Pediatric Medicine 4385643105 Reassigns benefits to 2 organizations
I20210820001314 PA Practitioner - Pediatric Medicine 4385643105 Reassigns benefits to 1 organization
I20230421000126 FL Practitioner - Pediatric Medicine 4385643105 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medical Group Inc CurrentSince Apr 27, 2023 Accepting new patients
Pinnacle Health Medical Services Current Accepting new patients
Childrens Specialty Group PLLC CurrentSince May 1, 2019 Accepting new patients
Pinnacle Health Medical Services CurrentSince Aug 11, 2021 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Apr 27, 2023 Accepting new patients
Pinnacle Health Medical Services CurrentSince Aug 11, 2021 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

  • Direct secure messaging: cmonnikendam71539@epicdirect.hf.org
  • Direct secure messaging: cmonnikendam1244446@adventhealth.direct-ci.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.