Individual provider Active NPI

Muhammad Irfan Munawar, M.D.

  • Psychiatry Physician
  • Glens Falls, NY
National Provider Identifier
1770787491
Registry record updated Feb 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
046701 Issued in CT
Practice address
100 Park Street
Glens Falls Hospital - Behavioral Health Services
Glens Falls, NY 12801
Phone
(518) 926-3265
Fax
(518) 926-3211
NPI assigned
Jun 14, 2007
Last updated
Feb 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 639-L MS
Psychiatry Physician 2084P0800X 046701 CT Primary

Addresses

Primary practice location

100 Park Street
Glens Falls Hospital - Behavioral Health Services
Glens Falls, NY 12801

Mailing address

100 Park Street
Glens Falls Hospital - Credentialing
Glens Falls, NY 12801
Phone (518) 926-5924

Other practice location 1

675 Tower Ave
Suite 301
Hartford, CT 06112-1273
Phone (860) 714-2750

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address muhammad.munawar@cdirectglensfallshosp.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NY2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20091211000124 CT Practitioner - Psychiatry 8729128491 Reassigns benefits to 1 organization
I20200220002051 NY Practitioner - Psychiatry 8729128491 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Glens Falls Hospital IncGroup PAC ID 8325955974, shared by 3 NPIs, 175 clinicians

Practice addresses (Care Compare)

100 Park St
Glens Falls, NY 12801-4413

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
046701CTMDPsychiatry Physician
639-LMSMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Mar 27, 2022 Accepting new patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Mar 27, 2022 Accepting new patients
Teladoc Health Medical Group, P.a. Psychiatry Current Accepting new patients
Glens Falls Hospital Inc. Psychiatry CurrentSince Mar 12, 2020 Accepting new patients
Glens Falls Hospital Inc CurrentSince Mar 12, 2020 Accepting new patients
Glens Falls Hospital Inc CurrentSince Mar 12, 2020 Accepting new patients
Glens Falls Hospital Past Accepting new patients

Locations

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

500 Blue Hills Ave
Hartford, CT 06112
Phone (860) 714-2681

675 Tower Ave
Ste 301
Hartford, CT 06112
Phone (860) 714-2338

100 Park St
Glens Falls, NY 12801
Phone (518) 926-5924

79 North St
Granville, NY 12832
Phone (518) 642-0612

Interoperability endpoints

  • Direct secure messaging: mmunawar100773@albanymed.direct-ci.com
  • Direct secure messaging: mmunawar2389000@direct.trinity-health.org
  • Direct secure messaging: muhammadmunawar@tdh.allscriptsdirect.net

Organizations & group practices 7

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645401600000",
    "number": "1770787491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PARK STREET",
            "address_2": "GLENS FALLS HOSPITAL - CREDENTIALING",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "12801",
            "telephone_number": "518-926-5924",
            "fax_number": "518-926-6983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PARK STREET",
            "address_2": "GLENS FALLS HOSPITAL - BEHAVIORAL HEALTH SERVICES",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "12801",
            "telephone_number": "518-926-3265",
            "fax_number": "518-926-3211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "675 Tower Ave",
            "address_2": "Suite 301",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "CT",
            "postal_code": "061121273",
            "country_code": "US",
            "telephone_number": "860-714-2750",
            "fax_number": "860-714-8591",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUNAWAR",
        "first_name": "MUHAMMAD",
        "middle_name": "IRFAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-14",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MS",
            "license": "639-L",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "046701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "muhammad.munawar@cdirectglensfallshosp.org",
            "affiliation": "N",
            "address_1": "100 Park Street",
            "address_2": "Glens Falls Hospital - Behavioral Health Services",
            "city": "Glens Falls",
            "state": "NY",
            "country_code": "US",
            "postal_code": "12801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Glens Falls, NY

Sources for this page

Verify at the official NPI Registry.