NPIMap

Individual provider Active NPI

Amado Ramos Munson, PA

  • Surgical Physician Assistant
  • Springfield, MA
National Provider Identifier
1801893359
Registry record updated Nov 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
446 Issued in MA
Practice address
100 Wason Ave
Suite 120
Springfield, MA 01107-1381
Phone
(413) 241-2100
Fax
(413) 735-1982
NPI assigned
Jun 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 446 MA Primary

Addresses

Primary practice location

100 Wason Ave
Suite 120
Springfield, MA 01107-1381

Mailing address

100 Wason Ave
Springfield, MA 01107-1381
Phone (413) 241-2100

Other identifiers 10

IdentifierTypeStateIssuer
0604117OtherMAUNITED HEALTHCARE DIRECT
105746700OtherMAUS DEPT OF LABOR/W/C
970011261OtherMARAILROAD MEDICARE
J08850OtherMABLUE SHIELD OF MA
751015OtherMASECURE HORIZONS
000446OtherMACONNECTICARE
3053245MedicaidMA
751015OtherMATUFTS
MA0025741OtherMAFEDERAL HEALTHNET
13522OtherMAHEALTH NEW ENGLAND

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, CT2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080213000233 MA Practitioner - Physician Assistant 1456434554 Reassigns benefits to 1 organization
I20260622000791 CT Practitioner - Physician Assistant 1456434554 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pioneer Valley Urology, PCGroup PAC ID 7214972207, 15 clinicians

Practice addresses (Care Compare)

100 Wason Ave
Suite 120
Springfield, MA 01107-1119
Phone (413) 241-2100

100 Wason Ave
Suite 120
Springfield, MA 01107-1179

Hospital & facility affiliations

  • Baystate Medical Center Hospital, Springfield, MA, CCN 220077
  • Cooley Dickinson Hospital Inc,the Hospital, Northampton, MA, CCN 220015
  • Mercy Medical Ctr Hospital, Springfield, MA, CCN 220066

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
446MAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology & Imaging, Inc. Past Accepting new patients
New England Neurosurgical Assoc, LLC Past Accepting new patients
Mercy Specialist Physicians Inc PastSince Jan 23, 2013 Accepting new patients
Valley Neurological Surgery PC Past Accepting new patients

Organizations & group practices 5

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.

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": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289952000000",
    "number": "1801893359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WASON AVE",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071381",
            "telephone_number": "413-241-2100",
            "fax_number": "413-241-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WASON AVE",
            "address_2": "SUITE 120",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071381",
            "telephone_number": "413-241-2100",
            "fax_number": "413-735-1982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNSON",
        "first_name": "AMADO",
        "middle_name": "RAMOS",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2010-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MA",
            "license": "446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE DIRECT",
            "identifier": "0604117",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR/W/C",
            "identifier": "105746700",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "970011261",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF MA",
            "identifier": "J08850",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SECURE HORIZONS",
            "identifier": "751015",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "000446",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3053245",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "751015",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL HEALTHNET",
            "identifier": "MA0025741",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NEW ENGLAND",
            "identifier": "13522",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.