Individual provider Active NPI

Mustafa S Huseini, MD

  • Gastroenterology Physician
  • Owosso, MI
National Provider Identifier
1073613808
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
4301078184 Issued in MI
Practice address
721 N Shiawassee St Ste 202
Owosso, MI 48867-1632
Phone
(989) 729-1600
Fax
(989) 729-4070
NPI assigned
Sep 22, 2006
Last updated
Oct 5, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301078184 MI
Gastroenterology Physician 207RG0100X 35131908 OH
Gastroenterology Physician 207RG0100X 267487 MA
Gastroenterology Physician 207RG0100X 4301078184 MI Primary

Addresses

Primary practice location

721 N Shiawassee St Ste 202
Owosso, MI 48867-1632

Mailing address

721 N Shiawassee St Ste 202
Owosso, MI 48867-1632
Phone (989) 729-1600

Other practice location 1

417 State St Ste 121
Bangor, ME 04401-6630
Phone (207) 973-4266

Other practice location 2

2213 Cherry St
Toledo, OH 43608-2603
Phone (419) 696-5555

Other identifiers 1

IdentifierTypeStateIssuer
1073613808MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, MI, OH, ME, MA5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20100625000526 PA Practitioner - Internal Medicine 4385662857 Reassigns benefits to 1 organization
I20170530002052 MI Practitioner - Gastroenterology 4385662857 Reassigns benefits to 5 organizations
I20170911003146 OH Practitioner - Gastroenterology 4385662857 Reassigns benefits to 3 organizations
I20200518001968 ME Practitioner - Gastroenterology 4385662857
I20211020002725 MA Practitioner - Gastroenterology 4385662857 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
McKenzie Memorial HospitalGroup PAC ID 6406755289, 31 clinicians
Mymichigan Medical Center MidlandGroup PAC ID 2264323633, 507 clinicians
Memorial HospitalGroup PAC ID 8527976497, 210 clinicians

Practice addresses (Care Compare)

120 N Delaware St
Sandusky, MI 48471-1009
Phone (810) 648-6162

4230 Bay City Rd
Midland, MI 48642-6014
Phone (989) 839-0750

721 N Shiawassee St
202 Memorial Healthcare Gastroenterology
Owosso, MI 48867-1632
Phone (989) 729-1600

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy86
Upper gastrointestinal (GI) endoscopy for acid reflux123

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
267487MAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mymichigan Medical Center Saginaw Gastroenterology CurrentSince Apr 1, 2025 Accepting new patients
Mymichigan Medical Center Midland CurrentSince Jan 16, 2025 Accepting new patients
Memorial Hospital Internal Medicine Current Accepting new patients
Mercy Health Physicians North Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients
Mercy Health Physicians North Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients
Memorial Hospital Gastroenterology CurrentSince Jul 12, 2021 Accepting new patients
Geisinger Clinic Current Accepting new patients
McKenzie Memorial Hospital CurrentSince Sep 1, 2025 Accepting new patients
Mymichigan Medical Center Saginaw CurrentSince Apr 1, 2025 Accepting new patients
McKenzie Memorial Hospital CurrentSince Sep 1, 2025 Accepting new patients
Mymichigan Medical Center Saginaw Current Accepting new patients
Mymichigan Medical Center Saginaw Current Accepting new patients
Geisinger Clinic CurrentSince Jul 1, 2010 Accepting new patients
Mymichigan Medical Center Midland CurrentSince Jan 16, 2025 Accepting new patients
Memorial Hospital CurrentSince Jul 12, 2021 Accepting new patients
Umass Memorial Medical Group Inc Internal Medicine CurrentSince Oct 14, 2021 Accepting new patients
Mercy Health Physicians Springfield Specialty Care LLC CurrentSince Mar 11, 2024 Accepting new patients
Geisinger Clinic CurrentSince Jul 1, 2010 Accepting new patients
Umass Memorial Medical Group, Inc. CurrentSince Oct 14, 2021 Accepting new patients
Hospital Consultants, P.C. Internal Medicine Past Accepting new patients
McKenzie Memorial Hospital Internal Medicine Past Accepting new patients
Memorial Hospital Past Accepting new patients

Locations

119 Belmont St
Worcester, MA 01605
Phone (508) 334-6345

55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862

9000 Peet Rd
Chesaning, MI 48616
Phone (989) 720-2273

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

4230 Bay City Rd
Midland, MI 48642
Phone (989) 839-0750

4500 N Campus Ridge Dr
Midland, MI 48640
Phone (989) 837-9250

721 N Shiawassee St
Ste 202
Owosso, MI 48867
Phone (989) 729-1600

3337 Britton Rd
Perry, MI 48872
Phone (517) 625-3004

3570 Shattuck Rd
Saginaw, MI 48603
Phone (989) 792-5353

4599 Towne Centre Rd
Saginaw, MI 48604
Phone (989) 497-3000

4705 Towne Centre Rd
Ste 104
Saginaw, MI 48604
Phone (989) 249-5454

115 N Delaware St
Sandusky, MI 48471
Phone (810) 648-4544

120 N Delaware St
Sandusky, MI 48471
Phone (810) 648-3770

2200 Jefferson Ave
Fl 5
Toledo, OH 43604
Phone (419) 251-9826

2213 Cherry St
Toledo, OH 43608
Phone (419) 251-4283

2222 Cherry St
Ste 2300
Toledo, OH 43608
Phone (419) 251-8013

3900 Sunforest Ct
Ste 240
Toledo, OH 43623
Phone (419) 472-3126

900 Scioto St
Ste 1
Urbana, OH 43078
Phone (937) 653-4666

100 N Academy Ave
Danville, PA 17822

1000 E Mountain Dr
Wilkes Barre, PA 18711
Phone (570) 826-7300

Interoperability endpoints

  • Direct secure messaging: m.huseini@memorialhealthcare.midirect.net

Organizations & group practices 23

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 23

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696464000000",
    "number": "1073613808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 N SHIAWASSEE ST STE 202",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488671632",
            "telephone_number": "989-729-1600",
            "fax_number": "989-729-4070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 N SHIAWASSEE ST STE 202",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488671632",
            "telephone_number": "989-729-1600",
            "fax_number": "989-729-4070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "417 State St Ste 121",
            "address_purpose": "LOCATION",
            "city": "Bangor",
            "state": "ME",
            "postal_code": "044016630",
            "country_code": "US",
            "telephone_number": "207-973-4266",
            "fax_number": "207-973-5151",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2213 Cherry St",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436082603",
            "country_code": "US",
            "telephone_number": "419-696-5555",
            "fax_number": "419-696-8499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUSEINI",
        "first_name": "MUSTAFA",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2023-10-05",
        "certification_date": "2021-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301078184",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OH",
            "license": "35131908",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MA",
            "license": "267487",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MI",
            "license": "4301078184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1073613808",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Owosso, MI

Sources for this page

Verify at the official NPI Registry.