Keith D Munson, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

0101223708 Issued in VA

Practice address

4913 Fawn Dell Rd
Roanoke, VA 24018-8624

Phone

(540) 314-5568

NPI assigned

Aug 19, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in VA, IL, NC, MT4 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 4

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kmunson719630@direct.unc.nchie.net

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.

• DLP Twin County Physician Practices LLC

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Galax, VA
  • NPI 1962078527
  Medicare reassignment NPD
• Carolinas Physicians Network Inc

  • Orthopaedic Surgery Physician
  • Charlotte, NC
  • NPI 1437607686
  Medicare reassignment NPD
• NHCS Physicians Inc

  • Cardiovascular Disease Physician
  • Rocky Mount, NC
  • NPI 1801252275
  Medicare reassignment NPD
• Northern Montana Hospital

  • Critical Access Hospital
  • Havre, MT
  • NPI 1427059070
  Medicare reassignment NPD
• The Charlotte-Mecklenburg Hospital Authority

  • Medical Oncology Physician
  • Indian Land, SC
  • NPI 1669738829

  NC

  Medicare reassignment NPD
• Unc Physicians Network LLC

  • Family Medicine Physician
  • Pittsboro, NC
  • NPI 1750704367
  Medicare reassignment NPD
• DLP Twin County Physician Practices LLC

  • Surgery Physician
  • Galax, VA
  • NPI 1033485925
  NPD
• DLP Twin County Physician Practices LLC

  • Otolaryngology Physician
  • Galax, VA
  • NPI 1194091090
  NPD
• Carolinas Physicians Network Inc

  • Endocrinology, Diabetes & Metabolism Physician
  • Charlotte, NC
  • NPI 1437038544
  NPD
• Carolinas Physicians Network Inc

  • Surgical Critical Care Physician
  • Shelby, NC
  • NPI 1821469735

  Surgery

  NPD
• Northern Montana Hospital

  • Critical Access Hospital
  • Havre, MT
  • NPI 1578536355
  NPD
• Northern Montana Hospital

  • Rural Health Clinic/Center
  • Havre, MT
  • NPI 1669445490
  NPD

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631059200000",
    "number": "1942292503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4913 FAWN DELL RD",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240188624",
            "telephone_number": "540-314-5568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4913 FAWN DELL RD",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240188624",
            "telephone_number": "540-314-5568"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 Nash Medical Arts Mall",
            "address_purpose": "LOCATION",
            "city": "Rocky Mount",
            "state": "NC",
            "postal_code": "278041470",
            "country_code": "US",
            "telephone_number": "252-962-4550",
            "fax_number": "252-962-4551",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2460 Curtis Ellis Dr",
            "address_purpose": "LOCATION",
            "city": "Rocky Mount",
            "state": "NC",
            "postal_code": "278042237",
            "country_code": "US",
            "telephone_number": "252-962-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUNSON",
        "first_name": "KEITH",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "2020-03144",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101223708",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007311206",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kmunson719630@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "220 Nash Medical Arts Mall",
            "city": "Rocky Mount",
            "state": "NC",
            "country_code": "US",
            "postal_code": "278041470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Roger Eugene Mumpower, PHARMACIST
• Mundy Psychological Services
• Klaire T. Mundy, PSY D
• Thomas J Munro, MD
• Melissa Nicole Munroe, M.D.
• Bharath Muppala, MD
• Maciej Muranowski
• Amanda Murchison, M.D.
• Ross William Murchison, M.D.
• Robert Murdock, M.D.

• Specialist in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.

Verify at the official NPI Registry.