Individual provider Active NPI

Musunkumuki Kadochi, MD

  • Pediatric Cardiology Physician
  • Biloxi, MS
National Provider Identifier
1275911810
Registry record updated Apr 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
29461 Issued in MS
Practice address
1721 Medical Park Dr Ste 101
Biloxi, MS 39532-2105
Phone
(601) 815-2005
NPI assigned
May 15, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology Physician 2080P0202X 29461 MS Primary

Addresses

Primary practice location

1721 Medical Park Dr Ste 101
Biloxi, MS 39532-2105

Mailing address

504 Clinton Center Drive
Cbo - Suite 4300
Clinton, MS 39056
Phone (601) 815-2005

Other practice location 1

4300 Hospital St
Pascagoula, MS 39581-5306
Phone (601) 815-2005

Other practice location 2

2500 N State St
Jackson, MS 39216-4500
Phone (601) 815-2005

Other practice location 3

5 Medical Blvd Ste C
Hattiesburg, MS 39401-7231
Phone (601) 815-2005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20211118002609 MS Practitioner - Pediatric MedicinePractitioner - Cardiovascular Disease (Cardiology) 3173838331 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Forrest County General Hospital CurrentSince Jun 15, 2022 Accepting new patients
Memorial Hospital at Gulfport CurrentSince Nov 15, 2021 Accepting new patients
Forrest County General Hospital CurrentSince Jun 15, 2022 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Nov 1, 2021 Accepting new patients
Memorial Hospital at Gulfport Current Accepting new patients
Forrest County General Hospital Current Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Nov 1, 2021 Accepting new patients

Locations

1721 Medical Park Dr
Ste 340B
Biloxi, MS 39532

1721 Medical Park Dr
Ste 101
Biloxi, MS 39532
Phone (228) 385-5350

504 Clinton Center Dr
Ste 4300
Clinton, MS 39056

4500 13th St
Gulfport, MS 39501
Phone (228) 236-3872

1340 Broad Ave
Ste 440
Gulfport, MS 39501
Phone (228) 867-4856

5 Medical Blvd
#C
Hattiesburg, MS 39401
Phone (601) 261-3500

2109 Hardy St
Hattiesburg, MS 39401
Phone (601) 296-3290

6051 U S Highway 49
Hattiesburg, MS 39401
Phone (601) 288-2690

2500 N State St
Jackson, MS 39216
Phone (601) 815-4775

4300 Hospital St
Pascagoula, MS 39581
Phone (228) 392-7046

Interoperability endpoints

  • Direct secure messaging: mkadochi170820@ummc.direct-ci.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1431648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650499200000",
    "number": "1275911810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 CLINTON CENTER DRIVE",
            "address_2": "CBO - SUITE 4300",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "39056",
            "telephone_number": "601-815-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 MEDICAL PARK DR STE 101",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395322105",
            "telephone_number": "601-815-2005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4300 Hospital St",
            "address_purpose": "LOCATION",
            "city": "Pascagoula",
            "state": "MS",
            "postal_code": "395815306",
            "country_code": "US",
            "telephone_number": "601-815-2005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2500 N State St",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392164500",
            "country_code": "US",
            "telephone_number": "601-815-2005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5 Medical Blvd Ste C",
            "address_purpose": "LOCATION",
            "city": "Hattiesburg",
            "state": "MS",
            "postal_code": "394017231",
            "country_code": "US",
            "telephone_number": "601-815-2005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KADOCHI",
        "first_name": "MUSUNKUMUKI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-15",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "MS",
            "license": "29461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Biloxi, MS

Sources for this page

Verify at the official NPI Registry.