Individual provider Active NPI

Katosha Andra Muse, M.D.

  • Specialist
  • Memphis, TN
National Provider Identifier
1366763435
Registry record updated Sep 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD0000050313 Issued in TN
Practice address
6005 Park Ave Ste 501
Memphis, TN 38119
Phone
(901) 590-2565
Fax
(901) 435-6588
NPI assigned
Jun 11, 2010
Last updated
Sep 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD0000050313 TN Primary
Family Medicine Physician 207Q00000X 50313 TN

Addresses

Primary practice location

6005 Park Ave Ste 501
Memphis, TN 38119

Mailing address

6005 Park Ave Ste 501
Memphis, TN 38119-5215
Phone (901) 590-2565

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20130820000747 TN Practitioner - Family PracticePractitioner - Obstetrics/Gynecology 2365688280 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Obstetrics/Gynecology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6005 Park Ave
Memphis, TN 38119-5215
Phone (901) 590-2565

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD0000050313TNMDSpecialist
50313TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Muse Primary Care & Obstetrics Specialist CurrentSince Feb 1, 2015 Accepting new patients
Obstetrics and Medicine PLLC Current Accepting new patients
Mason Health Clinic Current Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Jun 1, 2024 Accepting new patients
Amisub (SFH), Inc. Past Accepting new patients

Locations

300 Montvue Rd
Knoxville, TN 37919
Phone (818) 613-6769

6005 Park Ave
Ste 310
Memphis, TN 38119
Phone (901) 369-6008

6005 Park Ave
Ste 501
Memphis, TN 38119
Phone (901) 590-2565

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16913/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/BCJCCD/Endpoint/BCJCCD
  • Direct secure messaging: katosha.muse.1@22307.direct.athenahealth.com
  • Direct secure messaging: katosha.muse@mhc-tn.direct.office.nextgen.com
  • Direct secure messaging: kmuse@mpcao-tn.direct.office.nextgen.com

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1276214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1366763435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6005 PARK AVE STE 501",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381195215",
            "telephone_number": "901-590-2565",
            "fax_number": "901-435-6588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6005 PARK AVE STE 501",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38119",
            "telephone_number": "901-590-2565",
            "fax_number": "901-435-6588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSE",
        "first_name": "KATOSHA",
        "middle_name": "ANDRA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-11",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TN",
            "license": "MD0000050313",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "50313",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.