NPIMap

Individual provider Active NPI

Joshua Muyderman, M.D.

  • Emergency Medicine Physician
  • Newark, DE
National Provider Identifier
1295937225
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
C7-0003790 Issued in DE
Practice address
4755 Ogletown-Stanton Rd
Newark, DE 19718-0001
Phone
(302) 733-4176
NPI assigned
Jun 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X C7-0003790 DE Primary

Addresses

Primary practice location

4755 Ogletown-Stanton Rd
Newark, DE 19718-0001

Mailing address

119 Creekmont CT
Newark, DE 19702-3772

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130903000388 WV Practitioner - Emergency Medicine 9931238631 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
JS Weill Medical College, Cornell University, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
City Hospital Inc 155 clinicians
Jefferson Memorial Hospital 33 clinicians

Practice addresses (Care Compare)

2500 Hospital Dr
Martinsburg, WV 25401-3402
Phone (304) 260-1443

300 S Preston St
Ranson, WV 25438-1631
Phone (304) 728-1669

Hospital & facility affiliations

  • Jefferson Medical Center Hospital, Ranson, WV, CCN 511319
  • Berkeley Medical Center Hospital, Martinsburg, WV, CCN 510008

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C7-0003790DEMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson Memorial Hospital Current Accepting new patients
Jefferson Memorial Hospital CurrentSince Jun 30, 2022 Accepting new patients
City Hospital Inc Current Accepting new patients
Grant Memorial Hospital Inc CurrentSince Aug 1, 2025 Accepting new patients
Grant Memorial Hospital Inc CurrentSince Aug 1, 2025 Accepting new patients
City Hospital, Inc. Emergency Medicine CurrentSince Jul 1, 2023 Accepting new patients
Jefferson Memorial Hospital CurrentSince Jun 30, 2022 Accepting new patients
Health Care Alliance, Inc. Emergency Medicine CurrentSince Mar 1, 2014 Accepting new patients

Locations

1710 Harper Rd
Beckley, WV 25801
Phone (304) 252-0641

20 Hospital Dr
Logan, WV 25601
Phone (304) 792-1101

2500 Hospital Dr
Martinsburg, WV 25401
Phone (304) 233-4134

800 Garfield Ave
Parkersburg, WV 26101
Phone (304) 420-7161

117 Hospital Dr
Petersburg, WV 26847
Phone 30497450009312

300 S Preston St
Ranson, WV 25438
Phone (304) 728-1600

Interoperability endpoints

  • Direct secure messaging: jmuyderman26137@direct.wvuhsdirect.com

Organizations & group practices 11

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 5

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": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295937225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 CREEKMONT CT",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197023772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4755 OGLETOWN-STANTON RD",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197180001",
            "telephone_number": "302-733-4176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUYDERMAN",
        "first_name": "JOSHUA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "DE",
            "license": "C7-0003790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.