DR. MONUJ TRIVEN BASHAMBU MD
NPI 1083704159
Pediatrics - Neonatal-Perinatal Medicine in Augusta, GA

Active since October 13, 2006PECOS Enrolled
1120 15TH ST, AUGUSTA, GA 30912(706) 721-0650 Get Directions Write a Review

NPPES record last updated: August 16, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Monuj Triven Bashambu Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MONUJ TRIVEN BASHAMBU MD (NPI 1083704159) is an individual neonatal-perinatal medicine provider in Augusta, Georgia, licensed in Georgia (068983) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083704159
Entity TypeIndividualMale
Primary Taxonomy2080N0001X
Provider Legal NameDR. MONUJ TRIVEN BASHAMBUCredential: MD
Location Address1120 15TH STAugusta, GA 30912-0004
Mailing Address1499 Walton Way, Suite 1400Augusta, GA 30901-2602 · (706) 828-6410
Sole ProprietorNo
Enumeration DateOctober 13, 2006
Last NPPES UpdateAugust 16, 2013
NPI 1083704159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
Licenses Licensed in GA · 068983 Licensed in OH · 35.094111
Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

Also ListedPediatricsTaxonomy 208000000X · License LL29238 (SC)
1120 15TH ST, Augusta, GA 30912

Other Identifiers 5

Medicaid0072631OH
Other000000785511OH · Anthem
Other9105965OH · Aetna
Medicare PINH137790OH
Other35.094111OH · License

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Monuj Triven Bashambu Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
1120 15TH ST
AUGUSTA, GA 30912
Pharmacist (Pharmacotherapy)
1120 15TH ST, DEPARTMENT OF PHARMACY
AUGUSTA, GA 30912
Orthopaedic Surgery
1120 15TH ST
AUGUSTA, GA 30912
Psychiatry & Neurology (Neurology)
1120 15TH ST, DEPARTMENT OF NEUROLOGY
AUGUSTA, GA 30912
Genetic Counselor, MS
1120 15TH ST, BB7514
AUGUSTA, GA 30912
Emergency Medicine (Emergency Medical Services)
1120 15TH ST
AUGUSTA, GA 30912
Anesthesiology
1120 15TH ST, ROOM 2144
AUGUSTA, GA 30912
Dentist (Endodontics)
1120 15TH ST, MCG DENTAL SCHOOL DEPTARTMENT OF ENDODONTICS
AUGUSTA, GA 30912

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083704159, enumerated as an "individual" on October 13, 2006.

The provider is located at 1120 15TH ST AUGUSTA, GA 30912 and the phone number is (706) 721-0650.

Pediatrics with taxonomy code 2080N0001X and a focus in Neonatal-Perinatal Medicine.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Alabama, Medicare,. Please consult your insurance carrier or call the provider to verify.