Individual provider Active NPI

Kassim Ali Mussa

  • Home Health Aide
  • Silver Spring, MD
National Provider Identifier
1376805705
Registry record updated Jun 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Practice address
11700 Old Columbia Pike Apt 1112
Silver Spring, MD 20904-2555
Phone
(240) 688-2545
NPI assigned
Jun 12, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X MD Primary

Addresses

Primary practice location

11700 Old Columbia Pike Apt 1112
Silver Spring, MD 20904-2555

Mailing address

11700 Old Columbia Pike Apt 1112
Silver Spring, MD 20904-2555
Phone (240) 688-2545

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1339459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339459200000",
    "number": "1376805705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11700 OLD COLUMBIA PIKE APT 1112",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209042555",
            "telephone_number": "240-688-2545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11700 OLD COLUMBIA PIKE APT 1112",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209042555",
            "telephone_number": "240-688-2545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSSA",
        "first_name": "KASSIM",
        "middle_name": "ALI",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-12",
        "last_updated": "2012-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.