Individual provider Active NPI

Ahmad Musa, MD

  • General Practice Physician
  • Pauls Valley, OK
National Provider Identifier
1144840661
Registry record updated Oct 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
39813 Issued in OK
Practice address
200 Melville Dr
Pauls Valley, OK 73075-6610
Phone
(405) 331-5128
NPI assigned
Apr 24, 2020
Last updated
Oct 6, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 39813 OK Primary

Addresses

Primary practice location

200 Melville Dr
Pauls Valley, OK 73075-6610

Mailing address

2222 W Iowa Ave
Chickasha, OK 73018-2738
Phone (405) 586-3978

Other practice location 1

2222 W Iowa Ave
Chickasha, OK 73018-2738
Phone (405) 586-3978

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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

Enrollment IDStateProvider typePAC IDDetails
I20221101000649 OK Practitioner - General Practice 9234506437 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2222 W Iowa Ave
Carefirst Wellness Assoc
Chickasha, OK 73018-2738
Phone (405) 224-8111

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Plains Medical Center Inc CurrentSince Oct 27, 2022 Accepting new patients
Southern Plains Medical Center Inc Current Accepting new patients
Summit Medical Center Past Accepting new patients
Grady Memorial Hospital Past Accepting new patients

Locations

1104 E Central Blvd
Anadarko, OK 73005
Phone (405) 247-6685

2222 W Iowa Ave
Chickasha, OK 73018
Phone (405) 592-3937

101 N Carter St
Ste 300
Pauls Valley, OK 73075
Phone (405) 331-5128

200 Melville Dr
Pauls Valley, OK 73075
Phone (405) 238-5555

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1587686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1144840661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 W IOWA AVE",
            "city": "CHICKASHA",
            "state": "OK",
            "postal_code": "730182738",
            "telephone_number": "405-586-3978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MELVILLE DR",
            "city": "PAULS VALLEY",
            "state": "OK",
            "postal_code": "730756610",
            "telephone_number": "405-331-5128"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2222 W Iowa Ave",
            "address_purpose": "LOCATION",
            "city": "Chickasha",
            "state": "OK",
            "postal_code": "730182738",
            "country_code": "US",
            "telephone_number": "405-586-3978",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUSA",
        "first_name": "AHMAD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-24",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OK",
            "license": "39813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pauls Valley, OK

Sources for this page

Verify at the official NPI Registry.