MARLA JOY MUNGOVAN RD LDN
NPI 1245807189
Nutritionist in Worcester, MA

Active since June 09, 2021
55 LAKE AVE N, WORCESTER, MA 01655(747) 443-2491 Get Directions Write a Review

NPPES record last updated: May 14, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 14, 2024, Jul 22, 2023, Jun 9, 2021 (3 updates tracked since 2021).

About Marla Joy Mungovan Rd Ldn NPPES

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

MARLA JOY MUNGOVAN RD LDN (NPI 1245807189) is an individual nutritionist in Worcester, Massachusetts and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1245807189
Entity TypeIndividualFemale
Primary Taxonomy133N00000X
Provider Legal NameMARLA JOY MUNGOVANCredential: RD LDN
Location Address55 LAKE AVE NWorcester, MA 01655-0002
Mailing AddressPo Box 415348Boston, MA 02241-5348 · (800) 225-8885 · Fax (508) 334-1977
Sole ProprietorNo
Enumeration DateJune 9, 2021
Last NPPES UpdateMay 14, 20243 updates tracked since enumeration
NPPES CertifiedMay 14, 2024
✔ NPI 1245807189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNutritionistDietary & Nutritional Service Providers
Taxonomy Code133N00000X
Definition
A specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional requirements, and assist people in developing meal patterns that meet their nutritional needs; (2) A nutritionist is someone who has completed undergraduate and/or graduate training in the discipline of nutrition without necessarily meeting the academic and experience requirements to qualify for the Registered Dietitian designation.
55 LAKE AVE N, Worcester, MA 01655

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marla Joy Mungovan Rd Ldn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

2

Medicare enrollment records show Marla Mungovan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatric Unit
55 LAKE AVE N
Worcester, MA 01655
  • Reassigned Medicare billing, Massachusetts enrollment
  • 63 clinicians in this Medicare group
Internal Medicine
55 LAKE AVE N
Worcester, MA 01655
  • Reassigned Medicare billing, Massachusetts enrollment
  • 2,902 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Emergency Medicine
55 LAKE AVE N
WORCESTER, MA 01655
Nurse Practitioner
55 LAKE AVE N, DEPARTMENT OF RADIOLOGY
WORCESTER, MA 01655
Nurse Anesthetist, Certified Registered
55 LAKE AVE N, DEPARTMENT OF ANESTHESIOLOGY
WORCESTER, MA 01655
Physician Assistant
55 LAKE AVE N
WORCESTER, MA 01655
Internal Medicine
55 LAKE AVE N
WORCESTER, MA 01655
Internal Medicine (Hematology & Oncology)
55 LAKE AVE N
WORCESTER, MA 01655
Anesthesiology
55 LAKE AVE N, ANESTHESIOLOGY
WORCESTER, MA 01655
Anesthesiology
55 LAKE AVE N
WORCESTER, MA 01655

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marla Mungovan's NPI number?

The NPI number for Marla Mungovan is 1245807189. It was assigned to this individual provider in the NPPES registry on June 9, 2021.

Where is Marla Mungovan located?

Marla Mungovan practices at 55 Lake Ave N, Worcester, MA 01655. The listed phone number is (747) 443-2491.

What is Marla Mungovan's specialty?

The primary specialty registered for this NPI is Nutritionist with taxonomy code 133N00000X.

Is Marla Mungovan enrolled in Medicare?

Yes. Marla Mungovan is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Marla Mungovan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marla Mungovan reassigns Medicare benefits to 2 organizations: Umass Memorial Medical Center, Inc. (Worcester, MA) and Umass Memorial Medical Group Inc (Worcester, MA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marla Mungovan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marla Mungovan accept?

Health plans from Anthem Blue Cross and Blue Shield and Taro Health list Marla Mungovan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Marla Mungovan was last updated on May 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.