Individual provider Active NPI

Victor Muneshwar, MD

  • Psychiatry Physician
  • Berwick, PA
National Provider Identifier
1922175124
Registry record updated Jul 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD-056290-L Issued in PA
Practice address
701 E 16TH St
Berwick, PA 18603-2316
Phone
(570) 854-2872
NPI assigned
Nov 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD-056290-L PA Primary

Addresses

Primary practice location

701 E 16TH St
Berwick, PA 18603-2316

Mailing address

PO Box 2165
Hazleton, PA 18201-1060
Phone (570) 854-2872

Other identifiers 1

IdentifierTypeStateIssuer
0015542550008MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20040504000810 PA Practitioner - Psychiatry 9931197373 Practice locations: Berwick, PA

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
New York Medical College, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

751 E 16TH St
Berwick, PA 18603-2321
Phone (570) 854-2872

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-056290-LPAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Berwick Hospital Corporation Past Accepting new patients
Luzerne Wyoming County Mental Health Center #1 Past Accepting new patients
Luzerne Wyoming County Mental Health Center #1 Past Accepting new patients
Northeastern Rehabilitation Associates, PC Past Accepting new patients
Berwick Hospital Company LLC Past Accepting new patients
Berwick Hospital Corporation Past Accepting new patients

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468972800000",
    "number": "1922175124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2165",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182011060",
            "telephone_number": "570-854-2872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E 16TH ST",
            "city": "BERWICK",
            "state": "PA",
            "postal_code": "186032316",
            "telephone_number": "570-854-2872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNESHWAR",
        "first_name": "VICTOR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2016-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD-056290-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015542550008",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Berwick, PA

Sources for this page

Verify at the official NPI Registry.