Individual provider Active NPI

John W Musgrave, MD

  • Family Medicine Physician
  • Cedar Falls, IA
National Provider Identifier
1275533143
Registry record updated Nov 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25603 Issued in IA
Practice address
7024 Nordic Dr
Cedar Falls, IA 50613-6309
Phone
(319) 266-3127
Fax
(319) 266-5756
NPI assigned
Jul 21, 2005
Last updated
Nov 20, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2018

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 25603 IA Primary

Addresses

Primary practice location

7024 Nordic Dr
Cedar Falls, IA 50613-6309

Mailing address

7024 Nordic Dr
Cedar Falls, IA 50613-6309
Phone (319) 266-3127

Other identifiers 1

IdentifierTypeStateIssuer
1031351MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25603IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Matthew Smith MD PC Family Medicine Past Accepting new patients
Floyd County Memorial Hospital Commission Family Medicine Past Accepting new patients
Matthew J Smith Family Medicine PastSince Mar 1, 2020 Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542672000000",
    "number": "1275533143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7024 NORDIC DR",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506136309",
            "telephone_number": "319-266-3127",
            "fax_number": "319-266-5756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7024 NORDIC DR",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506136309",
            "telephone_number": "319-266-3127",
            "fax_number": "319-266-5756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSGRAVE",
        "first_name": "JOHN",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-21",
        "last_updated": "2018-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "25603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1031351",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Falls, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.