Active NPI
Vijaya K Munagala, M.D.
- Clinical Cardiac Electrophysiology Physician
- Green Bay, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Cardiac Electrophysiology Physician
- License
- 51851
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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 IncOconto Hospital and Medical Center Inc
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
- Osf St Francis Hospital and Medical Group
- Door County Medical Center
- Holy Family Memorial
- Aurora Baycare Medical Ctr
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Pacemaker insertion or repair | 30 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45265 | MN | MD | Internal Medicine Physician |
| 51851 | WI | MD | Cardiovascular Disease Physician |
| 4301073523 | MI | MD | Clinical Cardiac Electrophysiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oconto Hospital & Medical Center Inc | Current | Accepting new patients | |
| Bellin Memorial Hospital Inc | Current | Accepting new patients | |
| Bellin Memorial Hospital Inc | Cardiovascular Disease | Current | Accepting new patients |
| Oconto Hospital & Medical Center, Inc. | Current | Accepting new patients | |
| Froedtert Manitowoc Medical Group, LLC | Internal Medicine | Current | Accepting new patients |
| Oconto Hospital & Medical Center Inc | Current | Accepting new patients | |
| St. Francis Hospital | Current | Accepting new patients | |
| Osf Multi-Specialty Group | Internal Medicine | Current | Accepting new patients |
| St. Francis Hospital | Internal Medicine | Current | Accepting new patients |
| St Francis Hospital | Current | 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 | Past | 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
- vmunagala916955@direct.emplifyhealth.org
- 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.
-
- Obstetrics & Gynecology Physician
- Escanaba, MI
- NPI 1700828837
-
- Rural Health Clinic/Center
- Algoma, WI
- NPI 1609838473
-
- Multi-Specialty Clinic/Center
- Manitowoc, WI
- NPI 1437829975
Internal Medicine
-
- Critical Access Hospital
- Oconto, WI
- NPI 1356373302
-
- Cardiovascular Disease Physician
- Crystal Falls, MI
- NPI 1376649509
-
- Family Medicine Physician
- Green Bay, WI
- NPI 1104022128
-
- Rural Health Clinic/Center
- Suring, WI
- NPI 1104418037
-
- Rural Health Clinic/Center
- Peshtigo, WI
- NPI 1649628249
-
- Anatomic Pathology & Clinical Pathology Physician
- Escanaba, MI
- NPI 1932206455
-
- Family Medicine Physician
- Brillion, WI
- NPI 1962464784
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Green Bay, WI
- NPI 1255387726
-
- General Acute Care Hospital
- Green Bay, WI
- NPI 1891740585
-
- Critical Access Hospital
- Sturgeon Bay, WI
- NPI 1093743874
-
- General Acute Care Hospital
- Manitowoc, WI
- NPI 1700998697
-
- Critical Access Hospital
- Escanaba, MI
- NPI 1922058551
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; 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.
- 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.