Individual provider Active NPI

Safana Mushtaq, M.D.

  • Family Medicine Physician
  • Milford, NH
National Provider Identifier
1194909374
Registry record updated Nov 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
13877 Issued in NH
Practice address
444 Nashua St
Milford, NH 03055-4915
Phone
(603) 673-3014
NPI assigned
Dec 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2020

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 13877 NH Primary

Addresses

Primary practice location

444 Nashua St
Milford, NH 03055-4915

Mailing address

PO Box 808
Nashua, NH 03061-0808

Other identifiers 1

IdentifierTypeStateIssuer
3074073MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20081017000207 NH Practitioner - Family Practice 4789742958 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Joseph Hospital of Nashua NH 271 clinicians

Practice addresses (Care Compare)

444 Nashua St
Milford, NH 03055-4915
Phone (603) 673-3014

Hospital & facility affiliations

  • Home Health & Hospice Care Home health agency, Merrimack, NH, CCN 307017
  • Interim Healthcare Home health agency, Manchester, NH, CCN 307049
  • Amedisys Home Health Home health agency, Portsmouth, NH, CCN 307006
  • St Joseph Hospital Hospital, Nashua, NH, CCN 300011
  • Lahey Hospital & Medical Center, Burlington Hospital, Burlington, MA, CCN 220171
  • Southern NH Medical Center Hospital, Nashua, NH, CCN 300020

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13877NHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Joseph Hospital of Nashua NH CurrentSince Mar 1, 2015 Accepting new patients
St Joseph Hospital of Nashua NH Family Medicine CurrentSince Mar 1, 2015 Accepting new patients
St Joseph Hospital of Nashua NH Past Accepting new patients
Granite State Inpatient Services Past Accepting new patients

Locations

442 Nashua St
Milford, NH 03055
Phone (603) 673-3014

444 Nashua St
Milford, NH 03055
Phone (603) 673-3014

17 Riverside St
Ste 202
Nashua, NH 03062
Phone (603) 577-5760

172 Kinsley St
Nashua, NH 03060
Phone (603) 595-3926

Interoperability endpoints

  • Direct secure messaging: smushtaq1154073@direct.bsmhealth.org

Organizations & group practices 5

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 7

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": "1198368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606089600000",
    "number": "1194909374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 808",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030610808",
            "fax_number": "603-595-2997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 NASHUA ST",
            "city": "MILFORD",
            "state": "NH",
            "postal_code": "030554915",
            "telephone_number": "603-673-3014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSHTAQ",
        "first_name": "SAFANA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-23",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "13877",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3074073",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, NH

Sources for this page

Verify at the official NPI Registry.