Individual provider Active NPI

Ergen Muso, D.O.

  • Gastroenterology Physician
  • Bedford, NH
National Provider Identifier
1619302056
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
18683 Issued in NH
Practice address
9 Washington PL Ste 204
Bedford, NH 03110-6750
Phone
(603) 624-4450
NPI assigned
Sep 4, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X UO3025 FL
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X 18683 NH Primary

Addresses

Primary practice location

9 Washington PL Ste 204
Bedford, NH 03110-6750

Mailing address

9 Washington PL Ste 204
Bedford, NH 03110-6750
Phone (603) 624-4450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20180523000875 NH Practitioner - Gastroenterology 2961625066 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Appledore Medical Group IncGroup PAC ID 5698666154, 197 clinicians

Practice addresses (Care Compare)

9 Washington PL
Suite 204
Bedford, NH 03110-6750
Phone (603) 665-2470

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy72
Upper gastrointestinal (GI) endoscopy for acid reflux113

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
UO3025FLMDInternal Medicine Physician
18683NHMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Medical Center Multi-Specialty CurrentSince May 11, 2018 Accepting new patients
Catholic Medical Center Multi-Specialty CurrentSince May 11, 2018 Accepting new patients
Appledore Medical Group, Inc. Multi-Specialty CurrentSince Feb 1, 2025 Accepting new patients
Appledore Medical Group, Inc Multi-Specialty CurrentSince Feb 1, 2025 Accepting new patients

Locations

9 Washington Pl
Ste 204
Bedford, NH 03110
Phone (603) 624-4450

5 Washington Pl
Ste 1A
Bedford, NH 03110
Phone (603) 663-8060

57 Webster St
Manchester, NH 03104
Phone (603) 622-6491

330 Borthwick Ave
Ste 308
Portsmouth, NH 03801
Phone (603) 431-5242

330 Borthwick Ave
Ste 201
Portsmouth, NH 03801
Phone (603) 431-5242

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: ergen.muso@hca6.eclinicaldirectplus.com

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1378252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1619302056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 WASHINGTON PL STE 204",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106750",
            "telephone_number": "603-624-4450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 WASHINGTON PL STE 204",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106750",
            "telephone_number": "603-624-4450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSO",
        "first_name": "ERGEN",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-04",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "UO3025",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NH",
            "license": "18683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, NH

Sources for this page

Verify at the official NPI Registry.