Active NPI
Bennie William Muscha, MD
- Family Medicine Physician
- Mesa, AZ
National Provider Identifier
1255369104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 42575
- Practice address
- 1917 South Crismon Road
Mesa, AZ 85206 - Phone
- (480) 610-7100
- Fax
- (480) 610-7115
- NPI assigned
- Jun 29, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 6633 | ND | |
| Family Medicine Physician | 207Q00000X | 42575 | AZ | Primary |
Addresses
Primary practice location
1917 South Crismon Road
Mesa, AZ 85206
Mailing address
1917 South Crismon Road
Mesa, AZ 85206
Phone (480) 610-7100
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11681 | Other | ND | BCBS |
| 17619 | Medicaid | ND |
Other names 1
- Ben W Muscha
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 93.78 of 100
- Quality
- 80.38
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6633 | ND | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lutheran Charity Association | Current | Accepting new patients | |
| Lutheran Charity Association | Current | Accepting new patients | |
| Lutheran Charity Association | Current | Accepting new patients | |
| Carrington Health Center | Family Medicine | Past | Accepting new patients |
| Carrington Health Center | Family Medicine | Past | Accepting new patients |
Locations
2422 20th St SW
Jamestown, ND 58401
Phone (701) 252-1050
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.
-
- Critical Access Hospital
- Jamestown, ND
- NPI 1548256753
-
- Emergency Medicine Physician
- Jamestown, ND
- NPI 1821044652
-
- Diagnostic Radiology Physician
- Jamestown, ND
- NPI 1700038981
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378684800000",
"number": "1255369104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1917 SOUTH CRISMON ROAD",
"city": "MESA",
"state": "AZ",
"postal_code": "85206",
"telephone_number": "480-610-7100",
"fax_number": "480-610-7115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1917 SOUTH CRISMON ROAD",
"city": "MESA",
"state": "AZ",
"postal_code": "85206",
"telephone_number": "480-610-7100",
"fax_number": "480-610-7115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUSCHA",
"first_name": "BENNIE",
"middle_name": "WILLIAM",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-29",
"last_updated": "2013-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ND",
"license": "6633",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "42575",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "11681",
"state": "ND"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "17619",
"state": "ND"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BEN",
"last_name": "MUSCHA",
"middle_name": "W",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.