Anastas Mukoski, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

01049340 Issued in IN

Practice address

9330 Broadway
Crown Point, IN 46307-8602

Phone

(219) 662-5137

NPI assigned

Aug 17, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144334301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10195 FLOYD ST",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463073059",
            "telephone_number": "219-662-7399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9330 BROADWAY",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463078602",
            "telephone_number": "219-662-5137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUKOSKI",
        "first_name": "ANASTAS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01049340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clarissa Mosely
• Nicole Mosley, M.D.
• Magdaline Mouratides
• Mark Allen Mueller, MD
• Dorcas N Muiru, DNP-C
• Nada Mukoski, M.D
• Sintahyu Mulata, CRNA
• Kelsey Mulder, DPT
• Lisa Denise Mullally, D.O.
• Timothy James Mullally, DO

• Internal Medicine Physician in Crown Point, IN
• Providers in Crown Point, IN by specialty
• Internal Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.