Organization Active NPI

Muse Primary Care & Obstetrics

  • Specialist
  • Memphis, TN
National Provider Identifier
1154710184
Registry record updated Mar 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
MUSE PRIMARY CARE & OBSTETRICS
Practice address
6005 Park Ave Ste 501
Memphis, TN 38119
Phone
(901) 590-2565
Fax
(901) 435-6588
NPI assigned
Jan 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2023

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

Authorized official

Name
Katosha A Muse, MDNPI 1366763435
Title
Owner
Phone
(901) 590-2565

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

6005 Park Ave Ste 501
Memphis, TN 38119

Mailing address

6005 Park Ave Ste 501
Memphis, TN 38119-5215
Phone (901) 590-2565

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150519000490 TN Part B Supplier - Clinic/Group Practice 4183942378 Receives reassigned benefits from 1 practitioner
Practice locations: Memphis, TN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D0704101Muse Primary Care & Obstetrics, PLLC6005 Park Ave Suite 501, Memphis, TN 38119Certificate of waiverOct 31, 2027

National Provider Directory

National Provider Directory

Locations

6005 Park Ave
Ste 501
Memphis, TN 38119
Phone (901) 590-2565

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16913/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1421193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679529600000",
    "number": "1154710184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6005 PARK AVE STE 501",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381195215",
            "telephone_number": "901-590-2565",
            "fax_number": "901-435-6588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6005 PARK AVE STE 501",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38119",
            "telephone_number": "901-590-2565",
            "fax_number": "901-435-6588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUSE PRIMARY CARE & OBSTETRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-14",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A",
        "authorized_official_last_name": "MUSE",
        "authorized_official_first_name": "KATOSHA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-590-2565",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.