NPIMap

Individual provider Active NPI

Munna Garg, MD

  • Pediatrics Physician
  • Berlin, MD
National Provider Identifier
1902895444
Registry record updated Mar 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
D0063424 Issued in MD
Practice address
11107 Racetrack Road
Berlin, MD 21811
Phone
(410) 208-9761
Fax
(410) 208-9764
NPI assigned
Oct 18, 2005
Last updated
Mar 14, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0063424 MD
Pediatrics Physician 208000000X D0063424 MD Primary

Addresses

Primary practice location

11107 Racetrack Road
Berlin, MD 21811

Mailing address

10026 Old Ocean City Blvd
Building One
Berlin, MD 21811
Phone (410) 208-9761

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050929000610 MD Practitioner - Pediatric MedicinePractitioner - Internal Medicine 6406881341 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tidalhealth Atlantic IncGroup PAC ID 2365437837, 95 clinicians
Tidalhealth Primary Care LLCGroup PAC ID 7911320635, 63 clinicians

Practice addresses (Care Compare)

12308 Ocean Gtwy
Ocean City, MD 21842-9341

400 Eastern Shore Dr
Salisbury, MD 21804-5513
Phone (410) 543-8240

6040 Public Landing Rd
Snow Hill, MD 21863-2453
Phone (410) 629-0041

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.2 of 100Reported as group
Quality
70.92
Promoting interoperability
98
Improvement activities
40
Cost
71.41

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0063424MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic General Hospital Corp CurrentSince Sep 1, 2005 Accepting new patients
Tidalhealth Primary Care, LLC CurrentSince Mar 1, 2026 Accepting new patients
Tidalhealth Specialty Care, LLC CurrentSince Mar 1, 2026 Accepting new patients
Tidalhealth Atlantic, Inc. CurrentSince Sep 1, 2005 Accepting new patients
Atlantic General Hospital Corporation Internal Medicine Current Accepting new patients
Atlantic Immedicare LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

10026 Old Ocean City Blvd
Ste 1
Berlin, MD 21811

9714 Healthway Dr
Berlin, MD 21811
Phone (410) 641-2600

12308 Ocean Gtwy
Ste 1
Ocean City, MD 21842
Phone (410) 390-3341

11107 Racetrack Rd
Ocean Pnes, MD 21811
Phone (410) 208-9761

100 E Carroll St
Salisbury, MD 21801
Phone (410) 543-7100

400 Eastern Shore Dr
Salisbury, MD 21804
Phone (410) 543-2255

6040 Public Landing Rd
Snow Hill, MD 21863
Phone (410) 629-0041

Interoperability endpoints

  • Direct secure messaging: munnagarg@agh.allscriptsdirect.net

Organizations & group practices 7

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.

Hospital & facility affiliations 5

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": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331683200000",
    "number": "1902895444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10026 OLD OCEAN CITY BLVD",
            "address_2": "BUILDING ONE",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "21811",
            "telephone_number": "410-208-9761",
            "fax_number": "410-208-9764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11107 RACETRACK ROAD",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "21811",
            "telephone_number": "410-208-9761",
            "fax_number": "410-208-9764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARG",
        "first_name": "MUNNA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-18",
        "last_updated": "2012-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0063424",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0063424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berlin, MD

Sources for this page

Verify at the official NPI Registry.