Active NPI
Mustafa S Huseini, MD
- Gastroenterology Physician
- Owosso, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 4301078184
- 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, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073613808 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, MI, OH, ME, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
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
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
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 86 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 123 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 267487 | MA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mymichigan Medical Center Saginaw | Gastroenterology | Current | Accepting new patients |
| Mymichigan Medical Center Midland | Current | Accepting new patients | |
| Memorial Hospital | Internal Medicine | Current | Accepting new patients |
| Mercy Health Physicians North Specialty Care LLC | Current | Accepting new patients | |
| Mercy Health Physicians North Specialty Care LLC | Current | Accepting new patients | |
| Memorial Hospital | Gastroenterology | Current | Accepting new patients |
| Geisinger Clinic | Current | Accepting new patients | |
| McKenzie Memorial Hospital | Current | Accepting new patients | |
| Mymichigan Medical Center Saginaw | Current | Accepting new patients | |
| McKenzie Memorial Hospital | Current | Accepting new patients | |
| Mymichigan Medical Center Saginaw | Current | Accepting new patients | |
| Mymichigan Medical Center Saginaw | Current | Accepting new patients | |
| Geisinger Clinic | Current | Accepting new patients | |
| Mymichigan Medical Center Midland | Current | Accepting new patients | |
| Memorial Hospital | Current | Accepting new patients | |
| Umass Memorial Medical Group Inc | Internal Medicine | Current | Accepting new patients |
| Mercy Health Physicians Springfield Specialty Care LLC | Current | Accepting new patients | |
| Geisinger Clinic | Current | Accepting new patients | |
| Umass Memorial Medical Group, Inc. | Current | 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
- 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.
-
dba McKenzie Health System
- Critical Access Hospital
- Sandusky, MI
- NPI 1497750608
-
dba Memorial Medical Associates
- General Practice Physician
- Owosso, MI
- NPI 1235160532
Internal Medicine
-
- Multi-Specialty Clinic/Center
- Midland, MI
- NPI 1205889490
-
dba Ascension Medical Group Hematology and Oncology
- Medical Oncology Physician
- Saginaw, MI
- NPI 1538573605
-
- Family Medicine Physician
- Danville, PA
- NPI 1366493868
-
- Surgery Physician
- Toledo, OH
- NPI 1306468418
-
- Surgery Physician
- Springfield, OH
- NPI 1790308104
-
- Internal Medicine Physician
- Worcester, MA
- NPI 1760445373
-
- Family Medicine Physician
- Toledo, OH
- NPI 1609000769
-
dba Peck Medical Center
- Rural Health Clinic/Center
- Peck, MI
- NPI 1437917598
-
dba Memorial Medical Associates
- General Practice Physician
- Owosso, MI
- NPI 1316008006
Gastroenterology
-
dba Memorial Medical Associates
- Anesthesiology Physician
- Owosso, MI
- NPI 1659527737
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba McKenzie Health System
- Critical Access Hospital
- Sandusky, MI
- NPI 1497750608
-
dba McKenzie Professional Practice
- Family Medicine Physician
- Sandusky, MI
- NPI 1831443761
Hospital
-
dba Family Practice Center
- General Acute Care Hospital
- Midland, MI
- NPI 1376973149
-
- General Acute Care Hospital
- Midland, MI
- NPI 1902841414
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.