MONICA M MUNTEANU MD
NPI 1386643807
Internal Medicine in Guilford, CT

Active since July 18, 2005PECOS EnrolledAccepts Medicare Assignment
90.74/100
CMS Quality Rating
1591 BOSTON POST RD STE 100, GUILFORD, CT 06437(475) 900-9800(203) 932-4051 Get Directions Write a Review

NPPES record last updated: July 28, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Monica M Munteanu Md NPPES

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

MONICA M MUNTEANU MD (NPI 1386643807) is an individual internal medicine provider in Guilford, Connecticut, licensed in Connecticut (040066) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1386643807
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMONICA M MUNTEANUCredential: MD
Location Address1591 BOSTON POST RD STE 100Guilford, CT 06437-4335
Mailing Address1591 Boston Post Rd Ste 100Guilford, CT 06437-4335 · (475) 900-9800 · Fax (203) 932-4051
Fax(203) 932-4051
Sole ProprietorYes
Medical School CMSOtherGraduated 1997
Enumeration DateJuly 18, 2005
Last NPPES UpdateJuly 28, 2025
NPPES CertifiedJuly 28, 2025
✔ NPI 1386643807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CT · 040066
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1591 BOSTON POST RD STE 100, Guilford, CT 06437

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Monica M Munteanu Md 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 ID2466594346
PECOS Enrollment IDI20100115000606
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.

Medicare Billing Reassignment

Medicare enrollment records show Monica Munteanu reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pulmonary Disease
350 GOOSE LN STE 203B
Guilford, CT 06437
  • Reassigned Medicare billing, Connecticut enrollment
  • 156 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.

Areas of Expertise CMS Part B claims 6

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.
143 services63 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
43 services41 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.
27 services23 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
24 services24 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.
19 services19 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06437 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.74/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.27
Promoting Interoperability100
Improvement Activities40
Cost58.92

Other Providers at the Same Location NPPES 11

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

Internal Medicine
1591 BOSTON POST RD STE 100
GUILFORD, CT 06437
Nurse Practitioner (Family)
1591 BOSTON POST RD STE 100
GUILFORD, CT 06437
Family Medicine
1591 BOSTON POST RD STE 100
GUILFORD, CT 06437
Family Medicine
1591 BOSTON POST RD STE 100
GUILFORD, CT 06437
Physician Assistant
1591 BOSTON POST RD STE 100
GUILFORD, CT 06437
Internal Medicine
1591 BOSTON POST RD STE 100
GUILFORD, CT 06437
Internal Medicine
1591 BOSTON POST RD STE 100
GUILFORD, CT 06437
Internal Medicine
1591 BOSTON POST RD STE 100
GUILFORD, CT 06437

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 Monica Munteanu's NPI number?

The NPI number for Monica Munteanu is 1386643807. It was assigned to this individual provider in the NPPES registry on July 18, 2005.

Where is Monica Munteanu located?

Monica Munteanu practices at 1591 Boston Post Rd Ste 100, Guilford, CT 06437. The listed phone number is (475) 900-9800.

What is Monica Munteanu's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Monica Munteanu enrolled in Medicare?

Yes. Monica Munteanu 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.

Which organization bills Medicare for Monica Munteanu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Monica Munteanu reassigns Medicare benefits to Hhc Physician Services, PLLC (Guilford, CT). The 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 Monica Munteanu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Monica Munteanu accept?

Health plans from Anthem Blue Cross and Blue Shield list Monica Munteanu 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 Monica Munteanu was last updated on July 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.