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Active NPI 1083704159 Individual Practitioner Male Practitioner

Dr. Monuj Triven Bashambu , MD

Pediatrics - Neonatal-Perinatal Medicine • Augusta, GA

Professional Overview & Biography Verified Profile Summary

Dr. Monuj Bashambu, MD is a registered healthcare professional specializing in Pediatrics - Neonatal-Perinatal Medicine in Augusta, GA. Practice services are available at 1120 15TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1120 15th St

Augusta, GA 309120004

Telephone 7067210650
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics - Neonatal-Perinatal Medicine in Augusta, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 37.0 Yrs
State Avg: 22.1 Yrs
Regional Practice Density
25 Specialists

Practicing in Augusta, GA (179 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics - Neonatal-Perinatal Medicine Primary Specialty

NUCC Taxonomy Code: 2080N0001X

State License GA 068983

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License SC LL29238

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.

Pediatrics - Neonatal-Perinatal Medicine

NUCC Taxonomy Code: 2080N0001X

State License OH 35.094111

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0072631 (OH)
Commercial Insurance / Payer ID Anthem
000000785511 (OH)
Commercial Insurance / Payer ID License
35.094111 (OH)
Commercial Insurance / Payer ID Aetna
9105965 (OH)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Toya Kelley , MD

Family Medicine

NPI 1003013368

Doctor of Medicine (M.D.)

Dr. Jack Ellis , DO

Internal Medicine

NPI 1003115254

Doctor of Osteopathic Medicine (D.O.)

Robert Smith , FNP-C

Nurse Practitioner - Family

NPI 1003117680

Family Nurse Practitioner (Certified)

Sami Alshehry

Student in an Organized Health Care Education/Training Program

NPI 1003191545
Dr. Luis Velasquez Zarate , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1003221235

Doctor of Medicine (M.D.)

Dr. Bryan Broach , MD

Internal Medicine

NPI 1003298902

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 16, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location August 16, 2013

Registered at 1120 15TH ST, AUGUSTA, GA 309120004 (Tel: 7067210650)

📍
Updated Business Mailing Address August 16, 2013

Registered at 1499 WALTON WAY, SUITE 1400, AUGUSTA, GA 309012602 (Tel: 7068286410)

👤
Provider Name / Credentials Updated August 16, 2013

Recorded as MONUJ BASHAMBU, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 16, 2013

Pediatrics (License #LL29238 in SC)

🟢
Initial NPI Registration & Enumeration October 13, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1083704159
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 13, 2006
Last Update: August 16, 2013
Sole Proprietor: No

Mailing Address

1499 Walton Way, Suite 1400

Augusta, GA 309012602

Phone: 7068286410

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.