Individual provider Active NPI

Munaf Siyamwala, M.D.

  • Pulmonary Disease Physician
  • Independence, MO
National Provider Identifier
1992941900
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
2011006608 Issued in MO
Practice address
19550 E 39TH St S Ste 310
Independence, MO 64057-2306
Phone
(913) 222-9779
Fax
(816) 698-7378
NPI assigned
Dec 22, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X ME132055 FL
Pulmonary Disease Physician 207RP1001X 2011006608 MO Primary

Addresses

Primary practice location

19550 E 39TH St S Ste 310
Independence, MO 64057-2306

Mailing address

19600 E 39TH St S
Independence, MO 64057-2301
Phone (913) 222-9779

Other practice location 1

4700 Bayou Blvd Ste 6
Pensacola, FL 32503-1901
Phone (850) 477-9253 ext. 4616

Other practice location 2

435 Airport Blvd
Pensacola, FL 32503-7847
Phone (850) 435-7448

Other practice location 3

111 Central Ave
Newark, NJ 07102-1909
Phone (973) 877-2420

Other practice location 4

19600 E 39th St S
Independence, MO 64057-2301
Phone (913) 222-9779

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, FL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20110607000591 MO Practitioner - Internal Medicine 7012194657 Reassigns benefits to 2 organizations
I20171002002790 FL Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 7012194657 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
P and C Consultant ServicesGroup PAC ID 7113380833, 11 clinicians

Practice addresses (Care Compare)

19600 E 39TH St S
Independence, MO 64057-2301
Phone (913) 222-9779

Hospital & facility affiliations

  • Harbor Hospice of Missouri, LP Hospice, Independence, MO, CCN 261674
  • Centerpoint Medical Center Hospital, Independence, MO, CCN 260095
  • St Mary'S Medical Center Hospital, Blue Springs, MO, CCN 260193

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME132055FLMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
P&C Healthcare LLC Internal Medicine CurrentSince Apr 1, 2023 Accepting new patients
Zei Gezunt Healthcare PA Internal Medicine CurrentSince Dec 11, 2023 Accepting new patients
P & C Consultant Services Pulmonary Disease CurrentSince Jul 9, 2023 Accepting new patients
Central Avenue Professional Services, PC Past Accepting new patients
NJ Acute Care Specialists Professional Corporation Internal Medicine Past Accepting new patients
Sleep Service S PLLC PastSince Sep 1, 2017 Accepting new patients
Centerpoint Medical Center of Independence, LLC Past Accepting new patients

Locations

3800 S Ocean Dr
Ste 230
Hollywood, FL 33019
Phone (773) 512-1161

1500 W Truman Rd
Independence, MO 64050
Phone (816) 373-1911

19550 E 39th St S
Ste 310
Independence, MO 64057
Phone (816) 350-1200

19600 E 39th St S
Independence, MO 64057
Phone (816) 698-7000

19550 E 39th St S
Ste 419
Independence, MO 64057
Phone (816) 453-7771

Interoperability endpoints

  • Direct secure messaging: munaf.siyamwala.1@30586.direct.athenahealth.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/DHAEDD
  • Direct secure messaging: msiyamwala35574@direct.southcoast.org

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1229904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1992941900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19600 E 39TH ST S",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640572301",
            "telephone_number": "913-222-9779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19550 E 39TH ST S STE 310",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640572306",
            "telephone_number": "913-222-9779",
            "fax_number": "816-698-7378"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4700 Bayou Blvd Ste 6",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325031901",
            "country_code": "US",
            "telephone_number": "850-477-9253 x4616",
            "fax_number": "850-494-9843",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "435 Airport Blvd",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325037847",
            "country_code": "US",
            "telephone_number": "850-435-7448",
            "fax_number": "850-435-3156",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 Central Ave",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NJ",
            "postal_code": "071021909",
            "country_code": "US",
            "telephone_number": "973-877-2420",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19600 E 39th St S",
            "address_purpose": "LOCATION",
            "city": "Independence",
            "state": "MO",
            "postal_code": "640572301",
            "country_code": "US",
            "telephone_number": "913-222-9779",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIYAMWALA",
        "first_name": "MUNAF",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-12-22",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME132055",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MO",
            "license": "2011006608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, MO

Sources for this page

Verify at the official NPI Registry.