Organization Active NPI

Munson Medical Group

  • Cardiovascular Disease Physician
  • Traverse City, MI
National Provider Identifier
1821398322
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
MUNSON MEDICAL GROUP
Practice address
1200 Sixth St
Suite 200
Traverse City, MI 49684-2369
Phone
(231) 935-5800
Fax
(231) 935-5822
NPI assigned
Oct 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Authorized official

Name
Michael Frye, MD
Title
Pres Ambulatory & Bus. Development
Phone
(704) 458-8010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

1200 Sixth St
Suite 200
Traverse City, MI 49684-2369

Mailing address

1200 Sixth St
Suite 200
Traverse City, MI 49684-2369
Phone (231) 935-5800

Other names 1

  • TRAVERSE HEART AND VASCULAR Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110120000061 MI Part B Supplier - Clinic/Group Practice 8820277015 Receives reassigned benefits from 197 practitioners
9 other NPIs on this enrollment
Practice locations: Manistee, MI; Petoskey, MI; Prudenville, MI; Sault Saint Marie, MI; Traverse City, MI; Kalkaska, MI; Cadillac, MI; Charlevoix, MI…

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 9

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

2891 Momentum Pl
Chicago, IL 60689

14695 Park Ave
Ste 5
Charlevoix, MI 49720

829 N Center Ave
Ste 110
Gaylord, MI 49735
Phone (989) 731-9532

829 N Center Ave
#110
Gaylord, MI 49735

1107 E Michigan Ave
Grayling, MI 49738
Phone (989) 348-3027

Interoperability endpoints

  • Direct secure messaging: ehowell2@direct.mhc.net
  • Direct secure messaging: jfox01@direct.mhc.net
  • Direct secure messaging: zmuladore@direct.mhc.net
  • Direct secure messaging: lbyrne@direct.mhc.net
  • Direct secure messaging: dborgula@direct.mhc.net
  • Direct secure messaging: ateklinski@direct.mhc.net
  • Direct secure messaging: ekraska@direct.mhc.net
  • Direct secure messaging: tandrews2@direct.mhc.net
  • Direct secure messaging: hgerber@direct.mhc.net
  • Direct secure messaging: drecchia@direct.mhc.net
  • Direct secure messaging: mcarrier@direct.mhc.net
  • Direct secure messaging: ksedlacek@direct.mhc.net
  • Direct secure messaging: mhowe2@direct.mhc.net
  • Direct secure messaging: jbeattie@direct.mhc.net
  • Direct secure messaging: pyelavarthy@direct.mhc.net
  • Direct secure messaging: adeponio@direct.mhc.net
  • Direct secure messaging: mhc.traverseheartandvascular@direct.mhc.net
  • Direct secure messaging: smast1@direct.mhc.net
  • Direct secure messaging: kmaguire@direct.mhc.net
  • Direct secure messaging: kwoodruff@direct.mhc.net

Practitioners & affiliated clinicians

Practitioners 218

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 218

NPI Registry JSON

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

{
    "created_epoch": "1288396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776816000000",
    "number": "1821398322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 SIXTH ST",
            "address_2": "SUITE 200",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842369",
            "telephone_number": "231-935-5800",
            "fax_number": "231-935-5822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 SIXTH ST",
            "address_2": "SUITE 200",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842369",
            "telephone_number": "231-935-5800",
            "fax_number": "231-935-5822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUNSON MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-30",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A",
        "authorized_official_last_name": "FRYE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRES AMBULATORY & BUS. DEVELOPMENT",
        "authorized_official_telephone_number": "704-458-8010",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TRAVERSE HEART AND VASCULAR",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Traverse City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.