DR. JOSE L. MUNOZ M.D.
NPI 1437134830
Pediatrics in Somerton, AZ

NPI Status: Active since December 08, 2005

Contact Information

214 W MAIN ST
SOMERTON, AZ
ZIP 85350
Phone: (928) 627-1120
Fax: (928) 722-6113

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  • Individual
  • Male
  • Pediatrics
  • PECOS Enrolled

About JOSE MUNOZ

Jose Munoz is a pediatrician established in Somerton, Arizona and his medical specialization is Pediatrics. The healthcare provider is registered in the NPI registry with number 1437134830 assigned on December 2005. The practitioner's primary taxonomy code is 208000000X with license number 20379 (AZ). The provider is registered as an individual and his NPI record was last updated 5 years ago.

NPI
1437134830
Provider Name
DR. JOSE L. MUNOZ M.D.
Gender
Male
Entity Type
Individual
Location Address
214 W MAIN ST SOMERTON, AZ 85350
Location Phone
(928) 627-1120
Location Fax
(928) 722-6113
Mailing Address
PO BOX 617 SOMERTON, AZ 85350
Mailing Phone
(928) 236-8001
Mailing Fax
(928) 722-6113
Is Sole Proprietor?
No
Enumeration Date
12-08-2005
Last Update Date
12-11-2019
Code Navigator

A pediatrician like Jose Munoz is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
License No.
20379
License State
AZ
Taxonomy Description
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BannerAetna

    • BannerAetna Bronze 2 HSA: No PCP required + MinuteClinic + free 98point6 virtual care 24/7 - HMO
    • BannerAetna Bronze 4: No PCP required + Unlimited $0 MinuteClinic + free 98point6 virtual care 24/7 - HMO
    • BannerAetna Bronze S: No PCP required + Unlimited $0 MinuteClinic + free 98point6 virtual care 24/7 - HMO
    • BannerAetna Gold 3: No PCP required + Unlimited $0 MinuteClinic + free 98point6 virtual care 24/7 - HMO
    • BannerAetna Gold 4: No PCP required + Unlimited $0 MinuteClinic + free 98point6 virtual care 24/7 - HMO
    • BannerAetna Gold S: No PCP required + Unlimited $0 MinuteClinic + free 98point6 virtual care 24/7 - HMO
    • BannerAetna Silver 2: No PCP required + Unlimited $0 MinuteClinic + free 98point6 virtual care 24/7 - HMO
    • BannerAetna Silver 4: No PCP required + Unlimited $0 MinuteClinic + free 98point6 virtual care 24/7 - HMO
    • BannerAetna Silver 5: No PCP required + Unlimited $0 MinuteClinic + free 98point6 virtual care 24/7 - HMO
    • BannerAetna Silver 6: No PCP required + Unlimited $0 MinuteClinic + free 98point6 virtual care 24/7 - HMO
  • Blue Cross Blue Shield of Arizona

    • Blue ACA StandardHealth Silver with Health Choice - HMO
    • Blue AdvanceHealth Bronze - Neighborhood Network - HMO
    • Blue AdvanceHealth Gold - Neighborhood Network - HMO
    • Blue AdvanceHealth Silver - Neighborhood Network - HMO
    • Blue EverydayHealth Bronze - Neighborhood Network - HMO
    • Blue EverydayHealth Gold - Neighborhood Network - HMO
    • Blue EverydayHealth Silver - Neighborhood Network - HMO
    • Blue Portfolio HSA Bronze - Neighborhood Network - HMO
    • Blue Portfolio HSA Gold - Statewide PPO Network - PPO
    • Blue PPO PremierHealth Silver - Statewide PPO Network - PPO
  • Imperial Insurance Companies, Inc.

    • Imperial Preferred Gold - HMO
    • Imperial Preferred Silver - HMO
    • Imperial Standard Bronze - HMO
    • Imperial Standard Gold - HMO
    • Imperial Standard Silver - HMO
  • UnitedHealthcare

    • UHC Bronze Copay Focus $0 Indiv Med Ded - HMO
    • UHC Bronze Essential - HMO
    • UHC Bronze Standard - HMO
    • UHC Bronze Value ($0 Virtual Urgent Care + $0 PCP Visits, $3 Tier 2 Rx) - HMO
    • UHC Bronze Value HSA - HMO
    • UHC Gold Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
    • UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision) - HMO
    • UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care + $0 PCP Visits, $3 Tier 2 Rx) - HMO
    • UHC Gold Standard - HMO
    • UHC Gold Value ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
  • Medicare

  • Medicaid


*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
069725MEDICAID (05)AZ 
105270OTHER (01)AZMEDICARE PTAN

PECOS Enrollment and Medicare Participation Status

Jose Munoz is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 85350 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $88.33
  • Minimum New Patient Price $57.31
  • Maximum New Patient Price $174.67
  • Average New Patient Copayment $22.08
  • Minimum New Patient Copayment $14.32
  • Maximum New Patient Copayment $43.66

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $102.07
  • Minimum Established Patient Price $17.74
  • Maximum Established Patient Price $142.64
  • Average Established Patient Copayment $25.51
  • Minimum Established Patient Copayment $4.43
  • Maximum Established Patient Copayment $35.66

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for DR. JOSE L. MUNOZ M.D.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1437134830
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
246723886
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 6 + 7 + 2 + 3 + 8 + 8 + 6 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1437134830 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 14 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1932224763DR. VASU KRISHNAKUMAR M.D.
Individual
Psychiatry & Neurology (Psychiatry)214 W MAIN ST
SOMERTON, AZ 85350
(928) 627-1120
1053833863MR. RICARDO RIVAS MENDEZ
Individual
Speech-Language Pathologist214 W MAIN ST
SOMERTON, AZ 85350
(928) 627-1120
1831479419 MYRIAM ANGELIQUE VILLAPUDUA CCC-SLP
Individual
Speech-Language Pathologist214 W MAIN ST
SOMERTON, AZ 85350
(928) 627-1120
1942713086 CHINELO UNOMA UGHANZE PMHNP-BC
Individual
Nurse Practitioner (Psychiatric/Mental Health)214 W MAIN ST
SOMERTON, AZ 85350
(928) 627-1120
1255578324DR. STEPHEN DOUGLAS BAILEY ED. D.
Individual
Psychologist214 W MAIN ST
SOMERTON, AZ 85350
(928) 627-1120
1427577857MRS. PATRICIA GONZALEZ M.S., SLP
Individual
Speech-Language Pathologist214 W MAIN ST
SOMERTON, AZ 85350
(928) 627-1120
1265949531MS. CRISELDA FLORES LPC
Individual
Counselor (Professional)214 W MAIN ST
SOMERTON, AZ 85350
(928) 627-1120
1538813522 CATHERINE FANG LPC
Individual
Counselor (Professional)214 W MAIN ST
SOMERTON, AZ 85350
(928) 627-1120
1568791119DR. KEEVER KERION CZLAPINSKI PH.D
Individual
Psychologist214 W MAIN ST
SOMERTON, AZ 85350
(928) 627-1120
1669139242 KATHERINE MICHELLE DANIEL NP-C
Individual
Nurse Practitioner (Psychiatric/Mental Health)214 W MAIN ST
SOMERTON, AZ 85350
(928) 627-1120
1013469014REGIONAL CENTER FOR BORDER HEALTH, INC
Organization
Counselor (Mental Health)214 W MAIN ST
SOMERTON, AZ 85350
(928) 627-1120
1972891349SAN LUIS WALK-IN CLINIC, INC.
Organization
Clinic/Center (Rural Health)214 W MAIN ST
SOMERTON, AZ 85350
(928) 627-1120
1932681509 NANCY ROJAS
Individual
Counselor (Mental Health)214 W MAIN ST
SOMERTON, AZ 85350
(928) 627-1120
1225894934 ALBERTO CABRERA JR. FNP-BC
Individual
Nurse Practitioner (Family)214 W MAIN ST
SOMERTON, AZ 85350
(928) 627-1120

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1437134830, enumerated in the NPI registry as an "individual" on December 08, 2005

The provider is located at 214 W Main St Somerton, Az 85350 and the phone number is (928) 627-1120

The provider's speciality is Pediatrics with taxonomy code 208000000X

The provider might be accepting Accepts: BannerAetna, Blue Cross Blue Shield of Arizona,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of July 16, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $88.33 with an average copayment of $22.08 for new patient appointments. Established patients should expect a typical charge of $102.07 and an average copayment of 25.51. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on December 08, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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