Individual provider Active NPI

Jonathan Paul Musco, MD

  • Neuroradiology Physician
  • Columbia, MO
National Provider Identifier
1245420116
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroradiology PhysicianTaxonomy code 2085N0700X
License
2012038362 Issued in MO
Practice address
1 Hospital Dr
Columbia, MO 65212-0001
Phone
(573) 882-1026
Fax
(573) 884-4487
NPI assigned
Jul 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 2012038362 MO
Diagnostic Radiology Physician 2085R0202X 4301507405 MI
Diagnostic Radiology Physician 2085R0202X 294363 MA
Diagnostic Radiology Physician 2085R0202X ME158841 FL
Neuroradiology Physician 2085N0700X 2012038362 MO Primary

Addresses

Primary practice location

1 Hospital Dr
Columbia, MO 65212-0001

Mailing address

PO Box 843966
Kansas City, MO 64184-3966
Phone (573) 884-3300

Other practice location 1

8900 N Kendall Dr
Miami, FL 33176-2118
Phone (952) 595-1100

Other practice location 2

3601 W 13 Mile Rd
Royal Oak, MI 48073-6712
Phone (248) 898-6509

Other practice location 3

3600 Minnesota Dr Ste 800
Edina, MN 55435-7915
Phone (952) 595-1301

Other practice location 4

39000 Bob Hope Dr
Rancho Mirage, CA 92270-3221
Phone (760) 340-3911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL, GA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20150710001649 MO Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 7012229511 Reassigns benefits to 8 organizations
I20220901000158 IL Practitioner - Diagnostic Radiology 7012229511 Reassigns benefits to 1 organization
I20251016001516 GA Practitioner - Diagnostic Radiology 7012229511 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Specialists in Medical Imaging SCGroup PAC ID 2163733544, 228 clinicians
Palm Desert Radiology Medical Group IncGroup PAC ID 0749173789, 125 clinicians
Virtual Radiologic Professionals LLCGroup PAC ID 4981608817, 392 clinicians
Fred Smeltzer MD and Associates IncGroup PAC ID 8921078304, 95 clinicians
Mori Bean and Brooks IncGroup PAC ID 8820077878, 966 clinicians
Crouse Radiology Associates LLPGroup PAC ID 1850387648, 105 clinicians

Practice addresses (Care Compare)

Bowling Green, MO 63334
Phone (309) 671-8282

Barnett, MO 65011
Phone (309) 671-8282

104 Talahi Island LN
Brunswick, GA 31520-4422
Phone (844) 825-9300

2008 Oakpoint CT
Columbia, MO 65203-0864
Phone (952) 595-1100

2500 Norbury Dr
Columbia, MO 65202-2014
Phone (904) 399-5550

27638 Golden Point LN
Barnett, MO 65011-4130
Phone (315) 234-7600

802 Ridgestone CT
Peachtree City, GA 30269-6629
Phone (775) 283-3130

Hospital & facility affiliations

  • Physicians Regional Medical Center - Pine Ridge Hospital, Naples, FL, CCN 100286
  • Signature Healthcare Brockton Hospital Hospital, Brockton, MA, CCN 220052
  • Ozarks Healthcare Hospital, West Plains, MO, CCN 260078

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2012038362MOMDNeuroradiology Physician
ME158841FLMDDiagnostic Radiology Physician
294363MAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Palm Desert Radiology Medical Group, Inc Diagnostic Radiology CurrentSince Sep 30, 2022 Accepting new patients
Mori Bean and Brooks Inc Neuroradiology CurrentSince Jan 20, 2023 Accepting new patients
Metrowest Imaging Center LLC CurrentSince Nov 15, 2023 Accepting new patients
Ti TMS and Behavioral Health LLC CurrentSince Jan 25, 2023 Accepting new patients
Virtual Radiologic Professionals, LLC Diagnostic Radiology CurrentSince Jun 1, 2022 Accepting new patients
Specialists in Medical Imaging, SC Diagnostic Radiology CurrentSince Jul 18, 2022 Accepting new patients
Crawford Hospital District Current Accepting new patients
Icahn School of Medicine at Mount Sinai Neuroradiology CurrentSince Apr 1, 2023 Accepting new patients
Crouse Radiology Associates LLP Diagnostic Radiology CurrentSince Mar 19, 2024 Accepting new patients
Fred Smeltzer MD & Associates Inc Diagnostic Radiology CurrentSince Jun 1, 2022 Accepting new patients
Ozarks Medical Center Diagnostic Radiology Past Accepting new patients
Northside Radiology Associates LLC Neuroradiology PastSince Jul 19, 2021 Accepting new patients

Locations

39000 Bob Hope Dr
Rancho Mirage, CA 92270
Phone (760) 340-3911

20997 Old Cutler Rd
Cutler Bay, FL 33189
Phone (786) 595-1780

8375 Dix Ellis Trl
Ste 201
Jacksonville, FL 32256
Phone (904) 399-5810

8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960

1900 Tebeau St
Waycross, GA 31501
Phone (912) 283-3030

901 Grant St
Harvard, IL 60033
Phone (815) 943-5431

3922 Mercy Dr
McHenry, IL 60050
Phone (815) 344-4499

2400 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-6310

8201 E Riverside Blvd
Rockford, IL 61114
Phone (815) 971-4066

2000 Lake Ave
Woodstock, IL 60098
Phone (815) 337-4116

11995 Singletree Ln
Ste 500
Eden Prairie, MN 55344
Phone (952) 595-1143

3600 Minnesota Dr
Ste 800
Minneapolis, MN 55435
Phone (612) 595-1100

1015 W Adams St
Bowling Green, MO 63334
Phone (573) 324-5300

54 Hospital Dr
Osage Beach, MO 65065
Phone (573) 280-2772

5721 Osage Beach Pkwy
#103
Osage Beach, MO 65065
Phone (314) 384-1006

1505 S Big Bend Blvd
Saint Louis, MO 63117
Phone (314) 384-1006

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: jmusco88707@tuftsmedicine.direct-ci.com

Organizations & group practices 12

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 4

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": "1185494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1245420116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 843966",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641843966",
            "telephone_number": "573-884-3300",
            "fax_number": "573-884-0943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL DR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652120001",
            "telephone_number": "573-882-1026",
            "fax_number": "573-884-4487"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8900 N Kendall Dr",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331762118",
            "country_code": "US",
            "telephone_number": "952-595-1100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3601 W 13 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Royal Oak",
            "state": "MI",
            "postal_code": "480736712",
            "country_code": "US",
            "telephone_number": "248-898-6509",
            "fax_number": "248-898-5490",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3600 Minnesota Dr Ste 800",
            "address_purpose": "LOCATION",
            "city": "Edina",
            "state": "MN",
            "postal_code": "554357915",
            "country_code": "US",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "39000 Bob Hope Dr",
            "address_purpose": "LOCATION",
            "city": "Rancho Mirage",
            "state": "CA",
            "postal_code": "922703221",
            "country_code": "US",
            "telephone_number": "760-340-3911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUSCO",
        "first_name": "JONATHAN",
        "middle_name": "PAUL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-27",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "2012038362",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301507405",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "294363",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME158841",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "MO",
            "license": "2012038362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

Verify at the official NPI Registry.