Active NPI
Anthony C Munaco, MD
- Family Medicine Physician
- Farmington, MI
National Provider Identifier
1922068899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- AM041305
- Practice address
- 23133 Orchard Lake Rd Ste 102
Farmington, MI 48336-3278 - Phone
- (248) 476-2420
- Fax
- (248) 478-7680
- NPI assigned
- Mar 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | AM041305 | MI | Primary |
Addresses
Primary practice location
23133 Orchard Lake Rd Ste 102
Farmington, MI 48336-3278
Mailing address
PO Box 27420
Belfast, ME 04915-2026
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102845 | Other | CARE CHOICES PREFERRED CH | |
| 080028846 | Other | MEDICARE RAILROAD | |
| 1358191 | Medicaid | MI | |
| C3286 | Other | MCARE | |
| 0630324 | Other | MI | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100226000387 | MI | Practitioner - Family Practice | 5597756064 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AM041305 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Envision Medical Group PLLC | Family Medicine | Current | Accepting new patients |
| Envision Medical Group PLLC | Family Medicine | Current | Accepting new patients |
Locations
42931 7 Mile Rd
Northville, MI 48167
Phone (248) 348-2442
39475 Lewis Dr
Ste 200
Novi, MI 48377
Phone (248) 471-0675
Organizations & group practices 2
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.
-
- Family Medicine Physician
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- NPI 1578891750
-
- Family Medicine Physician
- Northville, MI
- NPI 1821391848
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612310400000",
"number": "1922068899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 27420",
"city": "BELFAST",
"state": "ME",
"postal_code": "049152026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23133 ORCHARD LAKE RD STE 102",
"city": "FARMINGTON",
"state": "MI",
"postal_code": "483363278",
"telephone_number": "248-476-2420",
"fax_number": "248-478-7680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUNACO",
"first_name": "ANTHONY",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-24",
"last_updated": "2021-02-03",
"certification_date": "2021-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "AM041305",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARE CHOICES PREFERRED CH",
"identifier": "102845",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "080028846",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1358191",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCARE",
"identifier": "C3286",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0630324",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Farmington, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.