Individual provider Active NPI

Anthony G Musci, MD

  • Internal Medicine Physician
  • Salt Lake City, UT
National Provider Identifier
1205853173
Registry record updated Jul 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
1819391205 Issued in UT
Practice address
2645 E Parleys Way Ste 200
Salt Lake City, UT 84109-1636
Phone
(801) 384-4700
Fax
(801) 384-4733
NPI assigned
Jul 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 1819391205 UT Primary

Addresses

Primary practice location

2645 E Parleys Way Ste 200
Salt Lake City, UT 84109-1636

Mailing address

2645 E Parleys Way Ste 200
Salt Lake City, UT 84109-1636
Phone (801) 384-4700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20200929003237 UT Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 0244253896

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1819391205UTMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341187200000",
    "number": "1205853173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2645 E PARLEYS WAY STE 200",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841091636",
            "telephone_number": "801-384-4700",
            "fax_number": "801-384-4733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2645 E PARLEYS WAY STE 200",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841091636",
            "telephone_number": "801-384-4700",
            "fax_number": "801-384-4733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSCI",
        "first_name": "ANTHONY",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-16",
        "last_updated": "2012-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "UT",
            "license": "1819391205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.