Peter K Maung, MD, FACP, CMD

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

22387 Issued in SC

Practice address

9319 Medical Plaza Dr
Charleston, SC 29406-9103

Phone

(843) 343-3188

Fax

(843) 824-9342

NPI assigned

Jul 1, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

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 1

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

All facility ownership & control disclosures 3

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

Owned or controlled facilities with NPI records 3

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

• Ridgeway Manor Healthcare Center LLC

  • Skilled Nursing Facility
  • Ridgeway, SC
  • NPI 1740770551

  Adp of the SNF

  CMS ownership
• Sedgewood Manor Healthcare Center LLC

  • Skilled Nursing Facility
  • Hopkins, SC
  • NPI 1467517649

  Adp of the SNF

  CMS ownership
• Sumter East Facility LLC

  • Skilled Nursing Facility
  • Sumter, SC
  • NPI 1043930936

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

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.

• Internal Medicine and Geriatrics Associates LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • N Charleston, SC
  • NPI 1437171311
  NPD (past) Authorized official

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261353600000",
    "number": "1740219922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 61147",
            "city": "N CHARLESTON",
            "state": "SC",
            "postal_code": "294191147",
            "telephone_number": "843-343-3188",
            "fax_number": "843-824-9342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9319 MEDICAL PLAZA DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294069103",
            "telephone_number": "843-343-3188",
            "fax_number": "843-824-9342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAUNG",
        "first_name": "PETER",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD, FACP, CMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-01",
        "last_updated": "2009-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "SC",
            "license": "22387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T65925",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Joyce Matuella, LCSW
• Adrianna Elyzabeth Matusiak, AGACNP-BC
• Andrew Joseph Matuskowitz, M.D.
• Corinne Mauldin, L P C
• Kristen Leigh Mauldin, PA-C
• Sarah Amy Fox Maurer
• Stacey Maurer, PHD
• Joseph A Mauriello, MD
• Caleb Max, MD
• Benjamin Maxner, M.D.

• Geriatric Medicine (Internal Medicine) Physician in Charleston, SC
• Providers in Charleston, SC by specialty
• Geriatric Medicine (Internal Medicine) Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.