NPIMap

Individual provider Active NPI

Ellen Haidet Mustovic, MD

  • Physical Medicine & Rehabilitation Physician
  • Wexford, PA
National Provider Identifier
1376541466
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
MD039443E Issued in PA
Practice address
101 N Meadows Dr Ste 112
Wexford, PA 15090-8368
Phone
(724) 772-5410
Fax
(724) 772-5413
NPI assigned
Jul 12, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X MD039443E PA Primary

Addresses

Primary practice location

101 N Meadows Dr Ste 112
Wexford, PA 15090-8368

Mailing address

PO Box 598
Wexford, PA 15090-0598
Phone (412) 622-4314

Other identifiers 1

IdentifierTypeStateIssuer
0012023230003MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20100108000056 PA Practitioner - Physical Medicine and Rehabilitation 4183661937 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
University of Rochester School of Medicine and Dentistry, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Rehabilitation, Inc.Group PAC ID 9739070525, 5 clinicians

Practice addresses (Care Compare)

4412 Penn Ave
Pittsburgh, PA 15224-1312
Phone (412) 622-4314

P O Box
Suite 598
Wexford, PA 15090-0598

PO Box
Suite 598
Wexford, PA 15090-0598

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
99.24
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Rehabilitation, Inc CurrentSince Jun 29, 1990 Accepting new patients

Locations

1994 Ewings Mill Rd
Coraopolis, PA 15108

1996 Ewings Mill Rd
Coraopolis, PA 15108
Phone (412) 269-8605

20397 Route 19
Ste 228
Cranberry Twp, PA 16066

101 N Meadows Dr
Ste 125
Wexford, PA 15090
Phone (412) 622-4314

101 N Meadows Dr
Ste 215
Wexford, PA 15090

101 N Meadows Dr
Ste 112
Wexford, PA 15090
Phone (724) 759-7461

Interoperability endpoints

  • Direct secure messaging: ellen.mustovic@medicalrehabinc.directbygreenway.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1376541466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 598",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150900598",
            "telephone_number": "412-622-4314",
            "fax_number": "412-622-4882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N MEADOWS DR STE 112",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150908368",
            "telephone_number": "724-772-5410",
            "fax_number": "724-772-5413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSTOVIC",
        "first_name": "ELLEN",
        "middle_name": "HAIDET",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-12",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "MD039443E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012023230003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wexford, PA

Sources for this page

Verify at the official NPI Registry.