Individual provider Active NPI

Zattam Musselmani, MD

  • Internal Medicine Physician
  • Chesapeake, VA
National Provider Identifier
1295816221
Registry record updated Apr 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101059204 Issued in VA
Practice address
1422 Poindexter St
Chesapeake, VA 23324-2431
Phone
(757) 543-3557
Fax
(757) 543-3558
NPI assigned
Oct 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2009

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 0101059204 VA Primary

Addresses

Primary practice location

1422 Poindexter St
Chesapeake, VA 23324-2431

Mailing address

1422 Poindexter St
Chesapeake, VA 23324-2431
Phone (757) 543-3557

Other identifiers 1

IdentifierTypeStateIssuer
010175453MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20050503000738 VA Practitioner - Internal Medicine 9032158621 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1422 Poindexter St
Chesapeake, VA 23324-2431
Phone (757) 543-3557

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101059204VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Musselmani Internal Medicine PC Internal Medicine CurrentSince Feb 10, 2005 Accepting new patients

Locations

1422 Poindexter St
Chesapeake, VA 23324
Phone (757) 543-3557

Interoperability endpoints

  • Direct secure messaging: zmusselmani@zmm-va.direct.office.nextgen.com

Organizations & group practices 1

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 7

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": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240444800000",
    "number": "1295816221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1422 POINDEXTER ST",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233242431",
            "telephone_number": "757-543-3557",
            "fax_number": "757-543-3558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1422 POINDEXTER ST",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233242431",
            "telephone_number": "757-543-3557",
            "fax_number": "757-543-3558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSSELMANI",
        "first_name": "ZATTAM",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2009-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101059204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010175453",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.