Individual provider Active NPI

Shylet Mukasa, DO., PH.D.

  • Family Medicine Physician
  • Springfield, PA
National Provider Identifier
1427794155
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS024273 Issued in PA
Practice address
1260 E Woodland Ave Ste 200
Springfield, PA 19064-3956
Phone
(610) 690-4471
NPI assigned
May 6, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS024273 PA Primary
Family Medicine Physician 207Q00000X OT021509 PA

Addresses

Primary practice location

1260 E Woodland Ave Ste 200
Springfield, PA 19064-3956

Mailing address

502 Curtis CT
Chesterbrook, PA 19087-1240
Phone (972) 251-9395

Other practice location 1

417 Baltimore Pike
Springfield, PA 19064-3810
Phone (484) 470-2600

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address PAExchange@patientfirstclinics.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20250423003685 PA Practitioner - Family Practice 9234655150 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Patient First Pennsylvania Medical Group PLLCGroup PAC ID 5193900280, 132 clinicians
Trinity Health Mid-Atlantic Medical GroupGroup PAC ID 7416861885, 350 clinicians

Practice addresses (Care Compare)

417 Baltimore Pike
Springfield, PA 19064-3810
Phone (484) 470-2600

925 Providence Rd
Suite 8/9
Secane, PA 19018-2920
Phone (610) 394-1234

Hospital & facility affiliations

  • Mercy Catholic Medical Center- Mercy Fitzgerald Hospital, Darby, PA, CCN 390156

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
OS024273PAMDFamily Medicine Physician
OT021509PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Patient First Pennsylvania Medical Group PLLC Family Medicine CurrentSince Mar 28, 2025 Accepting new patients
Trinity Health Mid-Atlantic Medical Group CurrentSince Sep 19, 2025 Accepting new patients
Patient First Pennsylvania Medical Group PLLC Family Medicine CurrentSince Mar 28, 2025 Accepting new patients
Trinity Health Mid-Atlantic Medical Group Family Medicine CurrentSince Sep 19, 2025 Accepting new patients
Trinity Health Mid-Atlantic Medical Group Current Accepting new patients

Locations

5125 Jonestown Rd
Ste 105
Harrisburg, PA 17112
Phone (717) 943-1566

713 Bethlehem Pike
Montgomeryvle, PA 18936
Phone (267) 695-3944

1201 Langhorne Newtown Rd
Penndel, PA 19047
Phone (215) 710-2100

925 Providence Rd
Ste 89
Secane, PA 19018
Phone (610) 394-1234

417 Baltimore Pike
Springfield, PA 19064
Phone (484) 470-2600

5000 Cox Rd
Glen Allen, VA 23060
Phone (804) 822-4355

Interoperability endpoints

  • Direct secure messaging: paexchange@patientfirstclinics.com
  • Direct secure messaging: shylet.mukasa.1@28169.direct.athenahealth.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1651795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1427794155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 CURTIS CT",
            "city": "CHESTERBROOK",
            "state": "PA",
            "postal_code": "190871240",
            "telephone_number": "972-251-9395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 E WOODLAND AVE STE 200",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "190643956",
            "telephone_number": "610-690-4471"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "417 Baltimore Pike",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "PA",
            "postal_code": "190643810",
            "country_code": "US",
            "telephone_number": "484-470-2600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUKASA",
        "first_name": "SHYLET",
        "credential": "DO., PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-06",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS024273",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OT021509",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "PAExchange@patientfirstclinics.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "417 Baltimore Pike",
            "city": "Springfield",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190643810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Springfield, PA

Sources for this page

Verify at the official NPI Registry.