LARISSA FOMUM MUGRI MD
NPI 1851973721
Student in an Organized Health Care Education/Training Program in Chicago, IL

Active since April 21, 2021PECOS EnrolledAccepts Medicare Assignment
5841 S MARYLAND AVE # MC5068, CHICAGO, IL 60637(773) 702-9109 Get Directions Write a Review

NPPES record last updated: April 21, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Larissa Fomum Mugri Md NPPES

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

LARISSA FOMUM MUGRI MD (NPI 1851973721) is an individual student in an organized health care education/training program in Chicago, Illinois and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center-northeast, and is a graduate of Michigan State University College Of Human Medicine (2021).

NPPES Registry Identity

NPI1851973721
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameLARISSA FOMUM MUGRICredential: MD
Location Address5841 S MARYLAND AVE # MC5068Chicago, IL 60637-1443
Mailing Address180 Harvester Dr Ste 110Burr Ridge, IL 60527-6686 · (773) 702-1150
Sole ProprietorYes
Medical School CMSMichigan State University College Of Human MedicineGraduated 2021
Enumeration DateApril 21, 2021
NPPES CertifiedApril 9, 2021
NPI 1851973721 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

5841 S MARYLAND AVE # MC5068, Chicago, IL 60637

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

Larissa Fomum Mugri 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 ID2769884972
PECOS Enrollment IDI20241113001005
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.

Hospital Affiliations CMS Care Compare 2

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

Carolinas Medical Center-Northeast

Acute Care Hospitals · Concord, NC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340001
Location920 Church St NConcord, NC 28025 · Cabarrus County
Emergency services Birthing friendly

Atrium Health University City

Acute Care Hospitals · Charlotte, NC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340166
Location8800 North Tyron StreetCharlotte, NC 28262 · Mecklenburg County
Emergency services Birthing friendly

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
5841 S MARYLAND AVE # MC5068, UNIVERSITY OF CHICAGO MEDICAL CENTER
CHICAGO, IL 60637
Emergency Medicine
5841 S MARYLAND AVE # MC5068
CHICAGO, IL 60637
Emergency Medicine
5841 S MARYLAND AVE # MC5068
CHICAGO, IL 60637
General Acute Care Hospital
5841 S MARYLAND AVE # MC5068
CHICAGO, IL 60637
General Acute Care Hospital
5841 S MARYLAND AVE # MC5068
CHICAGO, IL 60637
Emergency Medicine
5841 S MARYLAND AVE # MC5068
CHICAGO, IL 60637
Emergency Medicine
5841 S MARYLAND AVE # MC5068
CHICAGO, IL 60637
Emergency Medicine
5841 S MARYLAND AVE # MC5068
CHICAGO, IL 60637

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 Larissa Fomum Mugri's NPI number?

The NPI number for Larissa Fomum Mugri is 1851973721. It was assigned to this individual provider in the NPPES registry on April 21, 2021.

Where is Larissa Fomum Mugri located?

Larissa Fomum Mugri practices at 5841 S Maryland Ave # Mc5068, Chicago, IL 60637. The listed phone number is (773) 702-9109.

What is Larissa Fomum Mugri's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Larissa Fomum Mugri enrolled in Medicare?

Yes. Larissa Fomum Mugri 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 Larissa Fomum Mugri accept?

Health plans from Oscar Health Plan of North Carolina, Inc list Larissa Fomum Mugri 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 Larissa Fomum Mugri affiliated with any hospitals?

According to CMS data, Larissa Fomum Mugri is affiliated with Carolinas Medical Center-Northeast and Atrium Health University City.

When was this NPI record last updated?

The NPPES record for Larissa Fomum Mugri was last updated on April 21, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.