Individual provider Active NPI

Mohammad M. Munir, MD

  • Family Medicine Physician
  • Silver Spring, MD
National Provider Identifier
1861506891
Registry record updated Aug 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D0068037 Issued in MD
Practice address
15200 New Hampshire Ave
Silver Spring, MD 20905-5631
Phone
(301) 384-2166
Fax
(571) 349-0204
NPI assigned
Aug 18, 2006
Last updated
Aug 26, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X D0068037 MD Primary
Internal Medicine Physician 207R00000X D0068037 MD
Internal Medicine Physician 207R00000X MD034193L PA

Addresses

Primary practice location

15200 New Hampshire Ave
Silver Spring, MD 20905-5631

Mailing address

3601 SW 160TH Ave
Suite #250
Miramar, FL 33027-6308
Phone (305) 866-9951

Other identifiers 2

IdentifierTypeStateIssuer
4175751 00MedicaidMD
0006883990001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 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
I20081111000027 DC Practitioner - Internal MedicinePractitioner - Peripheral Vascular Disease 6305942244 Reassigns benefits to 3 organizations
I20081111000057 MD Practitioner - Internal MedicinePractitioner - Peripheral Vascular Disease 6305942244

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Peripheral Vascular Disease
Education
Other, 1968
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Muslim Community CenterGroup PAC ID 3971730946, 9 clinicians

Practice addresses (Care Compare)

15200 New Hampshire Ave
Silver Spring, MD 20905-5631

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0068037MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mdics Rehabilitative Services LLC Family Medicine CurrentSince May 20, 2013 Accepting new patients
Muslim Community Center CurrentSince Mar 19, 2014 Accepting new patients
DRS Munir & Samad Internal Medicine Past Accepting new patients

Locations

9211 Stuart Ln
Clinton, MD 20735
Phone (301) 868-3600

6934 Aviation Blvd
Ste B
Glen Burnie, MD 21061
Phone (443) 534-0575

15200 New Hampshire Ave
Silver Spring, MD 20905
Phone (301) 384-2166

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598400000000",
    "number": "1861506891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 SW 160TH AVE",
            "address_2": "SUITE #250",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330276308",
            "telephone_number": "305-866-9951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15200 NEW HAMPSHIRE AVE",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209055631",
            "telephone_number": "301-384-2166",
            "fax_number": "571-349-0204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNIR",
        "first_name": "MOHAMMAD",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0068037",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0068037",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD034193L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4175751 00",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006883990001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.