Michael Mugosa, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

12476 Issued in NV

Practice address

6 Steptoe Circle
Ely, NV 89301-2500

Phone

(775) 289-3612

Fax

(775) 289-6467

NPI assigned

Jul 13, 2006

Last updated

Oct 5, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NV

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

Specialty

General Surgery

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

William Bee Ririe HospitalGroup PAC ID 9335051747, 40 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• William Bee Ririe Hospital Hospital, Ely, NV, CCN 291302

Merit-based Incentive Payment System (MIPS)

Final score

37.4 of 100Reported as group

Quality

27.48

Improvement activities

0

Cost

71.43

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• William Bee Ririe Hospital

  • Family Nurse Practitioner
  • Eureka, NV
  • NPI 1407365711

  Corporate Director

  CMS ownership
• William Bee Ririe Hospital

  • Family Medicine Physician
  • Ely, NV
  • NPI 1437145422

  W-2 Managing Employee

  CMS ownership

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.

• William Bee Ririe Hospital

  • Critical Access Hospital
  • Ely, NV
  • NPI 1487648804
  Medicare reassignment Care Compare group NPD
• William Bee Ririe Retail Pharmacy

  • Community/Retail Pharmacy
  • Ely, NV
  • NPI 1831729268
  NPD
• William Bee Ririe Hospital

  • Family Medicine Physician
  • Ely, NV
  • NPI 1437145422
  NPD (past)
• Coshocton Surgical Clinic

  • Surgery Physician
  • Coshocton, OH
  • NPI 1538100979
  NPD (past)
• Medical Services of Coshocton, Inc

  • Internal Medicine Physician
  • Dresden, OH
  • NPI 1407889785
  NPD (past)

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

• William Bee Ririe Hospital

  • Critical Access Hospital
  • Ely, NV
  • NPI 1487648804
  Care Compare affiliation

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317772800000",
    "number": "1578588802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 STEPTOE CIRCLE",
            "city": "ELY",
            "state": "NV",
            "postal_code": "893012500",
            "telephone_number": "775-289-3612",
            "fax_number": "775-289-6467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 STEPTOE CIRCLE",
            "city": "ELY",
            "state": "NV",
            "postal_code": "893012500",
            "telephone_number": "775-289-3612",
            "fax_number": "775-289-6467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUGOSA",
        "first_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2011-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35086597",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MO",
            "license": "2008011481",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NV",
            "license": "12476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2586198",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Valerie J Miller, M.D.
• Carol S Milner, PH.D.
• Bailey Nichole Moore, OTR/L
• Bree O Morrison, LSW
• Katheryn A Moyle
• My Hearing Centers, LLC
• Nevada State Health Division/Far Nursin (Frontier and Rural Public Health)
• Nevada State Health Division/Far Nursin (Frontier and Rural Public Health)
• Nighthawk Counseling LLC
• Northstar Imaging, Inc.

• Surgery Physician in Ely, NV
• Providers in Ely, NV by specialty
• Surgery Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2011; 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.

Verify at the official NPI Registry.