Individual provider Active NPI

Craig E Munger, M.D.

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Zephyrhills, FL
National Provider Identifier
1922005883
Registry record updated Jun 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X
License
ME71209 Issued in FL
Practice address
6329 Gall Blvd
Zephyrhills, FL 33542-2515
Phone
(813) 788-7616
Fax
(813) 783-2856
NPI assigned
Jul 6, 2005
Last updated
Jun 3, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X ME0071209 FL
Ophthalmic Plastic and Reconstructive Surgery Physician 207WX0200X ME71209 FL Primary
Neuro-ophthalmology Physician 207WX0109X ME71209 FL

Addresses

Primary practice location

6329 Gall Blvd
Zephyrhills, FL 33542-2515

Mailing address

6329 Gall Blvd
Zephyrhills, FL 33542-2515
Phone (813) 788-7616

Other practice location 1

403 Vonderburg Dr
Brandon, FL 33511-5982
Phone (813) 681-1122

Other identifiers 6

IdentifierTypeStateIssuer
0498746OtherNYGHI
5127315OtherFLAETNA
0805199OtherFLUNITED HEALTHCARE
31542OtherFLBCBS FLORIDA
250497900MedicaidFL
2074404OtherFLAETNA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cmunger@floridaeye.intellechartdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100208000541 FL Practitioner - Ophthalmology 5991879603 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Medical College of Ohio, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tampa Eye Clinic and Associates PAGroup PAC ID 8123928868, 17 clinicians

Practice addresses (Care Compare)

3000 W ML King Jr Blvd
Tampa, FL 33607-6351
Phone (813) 877-2020

6329 Gall Blvd
Zephyrhills, FL 33542-2515
Phone (813) 788-7616

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision349

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0071209FLMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa Eye Clinic and Associates PA Ophthalmology CurrentSince Jul 1, 2021 Accepting new patients
Stuart J Kaufman MD & Assoc PA Ophthalmology CurrentSince Jul 12, 2021 Accepting new patients
Stuart J Kaufman MD & Assoc PA CurrentSince Jul 12, 2021 Accepting new patients
Stuart J Kaufman MD & Assoc PA Ophthalmology Past Accepting new patients

Locations

1814 W County Road 48
Bushnell, FL 33513
Phone (352) 568-0600

4002 Sun City Center Blvd
Unit 103
Sun City Center, FL 33573
Phone (813) 634-9289

3000 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607
Phone (813) 877-2020

2145 Cypress Ridge Blvd
#201
Wesley Chapel, FL 33544
Phone (813) 973-1133

6329 Gall Blvd
Zephyrhills, FL 33542
Phone (813) 788-7616

Interoperability endpoints

  • Direct secure messaging: cmunger@floridaeye.intellechartdirect.net
  • Direct secure messaging: craig.munger.p1@direct.tec.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

Hospital & facility affiliations 2

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": "1120608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622678400000",
    "number": "1922005883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6329 GALL BLVD",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335422515",
            "telephone_number": "813-788-7616",
            "fax_number": "813-783-2856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6329 GALL BLVD",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335422515",
            "telephone_number": "813-788-7616",
            "fax_number": "813-783-2856"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "403 Vonderburg Dr",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "FL",
            "postal_code": "335115982",
            "country_code": "US",
            "telephone_number": "813-681-1122",
            "fax_number": "813-684-4924",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUNGER",
        "first_name": "CRAIG",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-06",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME0071209",
            "primary": false
        },
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "FL",
            "license": "ME71209",
            "primary": true
        },
        {
            "code": "207WX0109X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Neuro-ophthalmology",
            "state": "FL",
            "license": "ME71209",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0498746",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5127315",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0805199",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FLORIDA",
            "identifier": "31542",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250497900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2074404",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cmunger@floridaeye.intellechartdirect.net",
            "affiliation": "N",
            "address_1": "403 Vonderburg Dr",
            "city": "Brandon",
            "state": "FL",
            "country_code": "US",
            "postal_code": "335115982",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Zephyrhills, FL

Sources for this page

Verify at the official NPI Registry.