Nada Mukoski, M.D

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

01060837A Issued in IN

Practice address

9330 Broadway
Crown Point, IN 46307-8602

Phone

(219) 662-5019

NPI assigned

Aug 30, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208563200000",
    "number": "1619087194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10195 FLOYD ST",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463073059",
            "telephone_number": "219-662-7399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9330 BROADWAY",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463078602",
            "telephone_number": "219-662-5019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUKOSKI",
        "first_name": "NADA",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2008-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IN",
            "license": "01060837",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01060837A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Mosley, M.D.
• Magdaline Mouratides
• Mark Allen Mueller, MD
• Dorcas N Muiru, DNP-C
• Anastas Mukoski, MD
• Sintahyu Mulata, CRNA
• Kelsey Mulder, DPT
• Lisa Denise Mullally, D.O.
• Timothy James Mullally, DO
• Amy Mumaugh, PHARMD

• Internal Medicine Physician in Crown Point, IN
• Providers in Crown Point, IN by specialty
• Internal Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.