Individual provider Active NPI

Victor Munoz, M.D.

  • Family Medicine Physician
  • Park Ridge, IL
National Provider Identifier
1992962146
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036119790 Issued in IL
Practice address
1030 Higgins Rd Ste 103
Park Ridge, IL 60068-5761
Phone
(708) 327-7000
Fax
(847) 685-0857
NPI assigned
May 16, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036119790 IL Primary

Addresses

Primary practice location

1030 Higgins Rd Ste 103
Park Ridge, IL 60068-5761

Mailing address

1030 Higgins Rd Ste 103
Park Ridge, IL 60068-5761
Phone (708) 327-7000

Other identifiers 1

IdentifierTypeStateIssuer
036119790MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address vmunoz146202@direct.luhs.org Direct LOYOLA UNIVERSITY MEDICAL CENTER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20081024000184 IL Practitioner - Family Practice 1951469634 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Loyola University Medical CenterGroup PAC ID 3779488903, 917 clinicians

Practice addresses (Care Compare)

2160 S 1St Ave
Maywood, IL 60153-3328
Phone (708) 216-9000

Hospital & facility affiliations

  • Loyola University Medical Center Hospital, Maywood, IL, CCN 140276
  • Loyola Gottlieb Memorial Hospital Hospital, Melrose Park, IL, CCN 140008
  • Amita Health Resurrection Medical Center Hospital, Chicago, IL, CCN 140117

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036119790ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Loyola University Medical Center CurrentSince Nov 15, 2021 Accepting new patients
Loyola University Medical Center CurrentSince Nov 15, 2021 Accepting new patients
Grand Vein Specialists LLC Family Medicine CurrentSince Apr 15, 2015 Accepting new patients
Loyola University Medical Center Current Accepting new patients
Health Direction Medical Center, S.C. Family Medicine PastSince Jul 25, 2014 Accepting new patients
Loyola University Physician Foundation PastSince Feb 8, 2023 Accepting new patients
Juan F Zapata, M.D. LLC Past Accepting new patients
Suburban Home Physicians,LLC Past Accepting new patients
Central Medical Specialists LLC Past Accepting new patients

Locations

500 W Court St
Kankakee, IL 60901
Phone (800) 585-4119

2160 S 1st Ave
Maywood, IL 60153
Phone (708) 216-4400

1030 Higgins Rd
Ste 103
Park Ridge, IL 60068
Phone (708) 327-7000

1030 Higgins Rd
Park Ridge, IL 60068

1508 Grand Ave
Waukegan, IL 60085
Phone (773) 237-1122

2 Westbrook Corporate Ctr
Ste 600
Westchester, IL 60154
Phone (708) 216-5092

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4283/brand/1/csg/1/fhir/r4

Organizations & group practices 9

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 4

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": "1210896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1992962146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 HIGGINS RD STE 103",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600685761",
            "telephone_number": "708-327-7000",
            "fax_number": "847-685-0857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 HIGGINS RD STE 103",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600685761",
            "telephone_number": "708-327-7000",
            "fax_number": "847-685-0857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNOZ",
        "first_name": "VICTOR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-16",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036119790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036119790",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vmunoz146202@direct.luhs.org",
            "affiliation": "Y",
            "affiliationName": "LOYOLA UNIVERSITY MEDICAL CENTER",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2160 S 1st Ave",
            "city": "Maywood",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601533328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Park Ridge, IL

Sources for this page

Verify at the official NPI Registry.