NPIMap

Individual provider Active NPI

Brett Muha, MD

  • Family Medicine Physician
  • Hazard, KY
National Provider Identifier
1174547210
Registry record updated Jan 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
37319 Issued in KY
Practice address
210 Black Gold Blvd
Hazard, KY 41701-2620
Phone
(606) 436-0711
Fax
(606) 436-0711
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 37319 KY Primary

Addresses

Primary practice location

210 Black Gold Blvd
Hazard, KY 41701-2620

Mailing address

PO Box 959
Hazard, KY 41702-0959
Phone (606) 436-0711

Other identifiers 1

IdentifierTypeStateIssuer
64066319MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071106000202 KY Practitioner - Family Practice 1153418355 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kentucky College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quantum Healthcare Associates of Cumberland, IncGroup PAC ID 0345403424, 8 clinicians
Mountain After Hours Clinic PSCGroup PAC ID 0547170102, 31 clinicians
Kentucky Mountain Health Alliance, Inc.Group PAC ID 8123112687, 20 clinicians

Practice addresses (Care Compare)

103 Kingdom Come Dr
Cumberland, KY 40823-1590
Phone (606) 589-5514

1908 N Main St
Suite 120
Hazard, KY 41701-2503
Phone (606) 439-2662

210 Black Gold Blvd
Suite 106
Hazard, KY 41701-2620
Phone (606) 436-0711

Hospital & facility affiliations

  • Hazard Arh HHA Home health agency, Hazard, KY, CCN 187027
  • Hospice of the Bluegrass, Inc. Hospice, Hazard, KY, CCN 181526
  • Hazard Arh Regional Medical Center Hospital, Hazard, KY, CCN 180029
  • Kentucky River Medical Center Hospital, Jackson, KY, CCN 181334
  • Whitesburg Arh Hospital Hospital, Whitesburg, KY, CCN 180002
  • Harlan Arh Hospital Hospital, Harlan, KY, CCN 180050
  • University of Kentucky Hospital Hospital, Lexington, KY, CCN 180067

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
37319KYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kentucky Mountain Health Alliance, Inc. CurrentSince Jul 1, 2023 Accepting new patients
Mountain After Hours Clinic PSC CurrentSince May 4, 2022 Accepting new patients
Appalachian Regional Healthcare, Inc. Past Accepting new patients
Appalachian Regional Healthcare, Inc. Past Accepting new patients
Kentucky Medical Services Foundation, Inc Family Medicine Past Accepting new patients

Locations

279 E Main St
Hazard, KY 41701
Phone (606) 487-9505

1908 N Main St
Ste 230
Hazard, KY 41701
Phone (606) 435-2961

210 Black Gold Blvd
Hazard, KY 41701
Phone (606) 436-0711

1908 N Main St
Ste 120
Hazard, KY 41701

210 Black Gold Blvd
Ste 106
Hazard, KY 41701
Phone (606) 436-0711

100 Medical Dr
Hazard, KY 41701
Phone (606) 439-6600

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GIIEDD/Endpoint/GIIEDD
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: brett.muha.p1@direct.kymha.nextgenshare.com
  • Direct secure messaging: bmuha140@yourcarecommunity.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/AIEDDD

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Mountain After Hours Clinic PSCHazard, KY, CCN 183857 Rural health clinic 5% Or Greater Direct Ownership Interest (25%)
Corporate Officer (25%)
Corporate Director (25%)
Operational/Managerial Control (25%)		 May 4, 2022
May 4, 2022
May 4, 2022
May 4, 2022
Quantum Healthcare Associates of Cumberland, IncCumberland, KY, CCN 188920 Rural health clinic 5% Or Greater Direct Ownership Interest (25%)
Corporate Director (25%)		 Oct 18, 2011
Oct 18, 2011

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

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

Hospital & facility affiliations 11

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296000000000",
    "number": "1174547210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 959",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417020959",
            "telephone_number": "606-436-0711",
            "fax_number": "606-436-0848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 BLACK GOLD BLVD",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417012620",
            "telephone_number": "606-436-0711",
            "fax_number": "606-436-0711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUHA",
        "first_name": "BRETT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2011-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "37319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64066319",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazard, KY

Sources for this page

Verify at the official NPI Registry.