Individual provider Active NPI

Vijaya K Munagala, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Green Bay, WI
National Provider Identifier
1780644666
Registry record updated Dec 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
51851 Issued in WI
Practice address
744 S Webster Ave FL 2
Green Bay, WI 54301-3505
Phone
(920) 433-3640
Fax
(920) 433-3716
NPI assigned
Mar 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 45265 MN
Cardiovascular Disease Physician 207RC0000X 51851 WI
Clinical Cardiac Electrophysiology Physician 207RC0001X 4301073523 MI
Clinical Cardiac Electrophysiology Physician 207RC0001X 51851 WI Primary

Addresses

Primary practice location

744 S Webster Ave FL 2
Green Bay, WI 54301-3505

Mailing address

PO Box 22487
Green Bay, WI 54305-2487
Phone (920) 445-7222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, MI2 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
I20080808000751 WI Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology) 6406755339 Reassigns benefits to 4 organizations
I20211105001247 MI Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology) 6406755339 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac Electrophysiology
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bellin Memorial Hospital IncGroup PAC ID 8820900749, shared by 10 NPIs, 685 clinicians
Oconto Hospital and Medical Center IncGroup PAC ID 2163461781, shared by 12 NPIs, 217 clinicians
St Francis HospitalGroup PAC ID 5991604753, 85 clinicians
Osf Multi-Specialty GroupGroup PAC ID 3678889789, 2,123 clinicians

Practice addresses (Care Compare)

1711 S Stephenson Ave
215 Bellin Health
Iron Mountain, MI 49801-3649
Phone (906) 776-5955

2820 Roosevelt Rd
Marinette, WI 54143-3834
Phone (715) 735-5225

3401 Ludington St
Escanaba, MI 49829-1300
Phone (906) 786-5707

3409 Ludington St
Escanaba, MI 49829-4213

3415 Custer St D
Manitowoc, WI 54220-4356
Phone (920) 652-9310

744 S Webster Ave
2 Bellin Health Cardiology Associates Green
Green Bay, WI 54301-3505
Phone (920) 433-3640

820 Arbutus Ave
Oconto, WI 54153-2004
Phone (920) 835-1100

Hospital & facility affiliations

  • Bellin Memorial Hospital Hospital, Green Bay, WI, CCN 520049
  • Osf St Francis Hospital and Medical Group Hospital, Escanaba, MI, CCN 231337
  • Door County Medical Center Hospital, Sturgeon Bay, WI, CCN 521358
  • Holy Family Memorial Hospital, Manitowoc, WI, CCN 520107
  • Aurora Baycare Medical Ctr Hospital, Green Bay, WI, CCN 520193

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair30

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
45265MNMDInternal Medicine Physician
51851WIMDCardiovascular Disease Physician
4301073523MIMDClinical Cardiac Electrophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oconto Hospital & Medical Center Inc Current Accepting new patients
Bellin Memorial Hospital Inc CurrentSince Jun 2, 2009 Accepting new patients
Bellin Memorial Hospital Inc Cardiovascular Disease Current Accepting new patients
Oconto Hospital & Medical Center, Inc. CurrentSince Nov 1, 2016 Accepting new patients
Froedtert Manitowoc Medical Group, LLC Internal Medicine CurrentSince Apr 2, 2022 Accepting new patients
Oconto Hospital & Medical Center Inc CurrentSince Nov 1, 2016 Accepting new patients
St. Francis Hospital Current Accepting new patients
Osf Multi-Specialty Group Internal Medicine CurrentSince Jun 9, 2023 Accepting new patients
St. Francis Hospital Internal Medicine CurrentSince Jun 26, 2024 Accepting new patients
St Francis Hospital CurrentSince Jun 26, 2024 Accepting new patients
Bellin Memorial Hospital Inc Current Accepting new patients
U P Otolaryngology PC Past Accepting new patients
Cardiology Associates of Green Bay, LTD Cardiovascular Disease Past Accepting new patients
Bellin Memorial Hospital Inc PastSince Jun 9, 2023 Accepting new patients

Locations

3409 Ludington St
Ste 104
Escanaba, MI 49829
Phone (906) 786-8343

3409 Ludington St
Ste 206
Escanaba, MI 49829
Phone (906) 786-7471

2525 5th Ave S
Escanaba, MI 49829
Phone (906) 233-4276

440 Woodward Ave
Iron Mountain, MI 49801
Phone (906) 776-9040

1711 S Stephenson Ave
Ste 215
Iron Mountain, MI 49801
Phone (906) 776-5955

744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025

744 S Webster Ave
Fl 2
Green Bay, WI 54301

744 S Webster Ave
#2
Green Bay, WI 54301

3415 Custer St
Ste D
Manitowoc, WI 54220
Phone (920) 652-9310

2300 Western Ave
Manitowoc, WI 54220
Phone (920) 320-2011

2820 Roosevelt Rd
Marinette, WI 54143
Phone (715) 330-6171

820 Arbutus Ave
Oconto, WI 54153
Phone (920) 835-1100

1414 N Taylor Dr
Sheboygan, WI 53081
Phone (920) 320-2011

Interoperability endpoints

  • Direct secure messaging: vmunagala916955@direct.emplifyhealth.org
  • Direct secure messaging: vmunagala33103@direct.thedacare.org

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 6

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": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1780644666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22487",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543052487",
            "telephone_number": "920-445-7222",
            "fax_number": "920-445-2789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 S WEBSTER AVE FL 2",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543013505",
            "telephone_number": "920-433-3640",
            "fax_number": "920-433-3716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNAGALA",
        "first_name": "VIJAYA",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "45265",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WI",
            "license": "51851",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "MI",
            "license": "4301073523",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "WI",
            "license": "51851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Bay, WI

Sources for this page

Verify at the official NPI Registry.