Active NPI
Ziad Musaitif, DO
- Family Medicine Physician
- Peoria, IL
National Provider Identifier
1316909328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036088753
- Practice address
- 3915 Barring Trace
Peoria, IL 61615 - Phone
- (309) 689-3030
- Fax
- (309) 689-6280
- NPI assigned
- Apr 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036088753 | IL | Primary |
Addresses
Primary practice location
3915 Barring Trace
Peoria, IL 61615
Mailing address
1120 War Memorial
Peoria Heights, IL 61616
Phone (309) 685-0100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036088753 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040427001471 | IL | Practitioner - Family Practice | 9335136852 | Practice locations: Peoria, IL; Lacon, IL |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of New England, College of Osteo Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Heartland Community Health Clinic
Practice addresses (Care Compare)
1701 W Garden St
Peoria, IL 61605-3531
Phone (309) 680-7600
2600 Compass Rd
Glenview, IL 60026-8001
Hospital & facility affiliations
- Comfort Plus Hospice Inc
- Saint Francis Medical Center
- Carle Health Methodist Hospital
- Sharon Health Care Elms
Merit-based Incentive Payment System (MIPS)
- Final score
- 28.03 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 93.45
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Good Health Medical Center S.C. | Family Medicine | Past | Accepting new patients |
| Gibson Community Hospital Association | Past | Accepting new patients |
Ownership & related parties
All facility ownership & control disclosures 2
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Sharon Health Care Elms, Inc. | Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Jun 1, 2015 Jun 1, 2015 |
| Comfort Plus Hospice Inc | Hospice | W-2 Managing Employee | Mar 1, 2024 |
Owned or controlled facilities with NPI records 2
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Community Based Hospice Care Agency
- Peoria, IL
- NPI 1053619734
W-2 Managing Employee
-
- Skilled Nursing Facility
- Peoria, IL
- NPI 1881622264
Adp of the SNF, Operational/Managerial Control
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 and National Provider Directory roles.
-
- Rehabilitation Clinic/Center
- Glenview, IL
- NPI 1346368248
-
- Critical Access Hospital
- Gibson City, IL
- NPI 1114935681
Hospital & facility affiliations 3
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": "1144195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279670400000",
"number": "1316909328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1120 WAR MEMORIAL",
"city": "PEORIA HEIGHTS",
"state": "IL",
"postal_code": "61616",
"telephone_number": "309-685-0100",
"fax_number": "309-685-0172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3915 BARRING TRACE",
"city": "PEORIA",
"state": "IL",
"postal_code": "61615",
"telephone_number": "309-689-3030",
"fax_number": "309-689-6280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUSAITIF",
"first_name": "ZIAD",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-05",
"last_updated": "2010-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036088753",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036088753",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Peoria, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.