MAINA N MUNGAI D.O
NPI 1255569208
Family Medicine in Maple Heights, OH

Active since June 29, 2009PECOS EnrolledAccepts Medicare Assignment
5264 LEE RD, MAPLE HEIGHTS, OH 44137(216) 294-4440(216) 249-6032 Get Directions Write a Review

NPPES record last updated: January 21, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 21, 2026, Sep 17, 2020 (2 updates tracked since 2020).

About Maina N Mungai D.o NPPES

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

MAINA N MUNGAI D.O (NPI 1255569208) is an individual family medicine provider in Maple Heights, Ohio, licensed in Ohio (34-010621) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, is affiliated with Cleveland Clinic, and maintains a secondary practice location in Twinsburg.

NPPES Registry Identity

NPI1255569208
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMAINA N MUNGAICredential: D.O
Location Address5264 LEE RDMaple Heights, OH 44137-1232
Mailing Address1395 Nw 167th StMiami Gardens, FL 33169-5710 · (305) 628-6117 · Fax (305) 393-5989
Fax(216) 249-6032
Sole ProprietorNo
Medical School CMSAt Still University Of Health Sciences, College Of Osteo Med, KirksvilleGraduated 2009
Enumeration DateJune 29, 2009
Last NPPES UpdateJanuary 21, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 21, 2026
NPI 1255569208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in OH · 34-010621
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

5264 LEE RD, Maple Heights, OH 44137

Secondary Practice Location 1

Location 18054 DARROW RD, BLDG D STE 1TWINSBURG, OH 44087-2387 · Phone (330) 425-1485 · Fax (330) 405-7960

Other Identifiers 1

Medicaid0080231OH

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 and accepts Medicare assignment

Maina N Mungai D.o is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8123279411
PECOS Enrollment IDI20121114000334
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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
156 services92 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
76 services53 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
69 services69 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
18 services18 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
18 services18 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cleveland Clinic

Acute Care Hospitals · Cleveland, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360180
Location9500 Euclid AvenueCleveland, OH 44195 · Cuyahoga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44137 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers15 claims37 services$4.14 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 14

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

Non-Pharmacy Dispensing Site
5264 LEE RD
MAPLE HEIGHTS, OH 44137
Pharmacist
5264 LEE RD
MAPLE HEIGHTS, OH 44137
Pharmacist
5264 LEE RD
MAPLE HEIGHTS, OH 44137
Family Medicine
5264 LEE RD
MAPLE HEIGHTS, OH 44137
Pharmacist
5264 LEE RD
MAPLE HEIGHTS, OH 44137
Nurse Practitioner
5264 LEE RD
MAPLE HEIGHTS, OH 44137
Internal Medicine
5264 LEE RD
MAPLE HEIGHTS, OH 44137
Family Medicine
5264 LEE RD
MAPLE HEIGHTS, OH 44137

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 Maina Mungai's NPI number?

The NPI number for Maina Mungai is 1255569208. It was assigned to this individual provider in the NPPES registry on June 29, 2009.

Where is Maina Mungai located?

Maina Mungai practices at 5264 Lee Rd, Maple Heights, OH 44137. The listed phone number is (216) 294-4440.

What is Maina Mungai's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Maina Mungai enrolled in Medicare?

Yes. Maina Mungai is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Maina Mungai accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Maina Mungai 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.

Is Maina Mungai affiliated with any hospitals?

According to CMS data, Maina Mungai is affiliated with Cleveland Clinic.

When was this NPI record last updated?

The NPPES record for Maina Mungai was last updated on January 21, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.