Individual provider Active NPI

Mussaret Zuberi, M.D.

  • Internal Medicine Physician
  • Elyria, OH
National Provider Identifier
1639123409
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
78050 Issued in MN
Practice address
630 E River St
Emergency Department
Elyria, OH 44035-5902
Phone
(440) 329-7450
Fax
(440) 329-7646
NPI assigned
May 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 35.063506 OH
Emergency Medicine Physician 207P00000X ME94632 FL
Internal Medicine Physician 207R00000X 78050 MN Primary

Addresses

Primary practice location

630 E River St
Emergency Department
Elyria, OH 44035-5902

Mailing address

32119 Willow Cir
Avon Lake, OH 44012-2133
Phone (440) 930-2077

Other practice location 1

400 E 3rd St
Duluth, MN 55805-1951
Phone (218) 786-8364

Other identifiers 2

IdentifierTypeStateIssuer
000000595762OtherOHANTHEM
0887643MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, WI, AZ, IN, MN5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20031121000043 OH Practitioner - Emergency MedicinePractitioner - Internal Medicine 4183528235 Reassigns benefits to 2 organizations
I20160106002941 WI Practitioner - Emergency MedicinePractitioner - Internal Medicine 4183528235 Reassigns benefits to 1 organization
I20180313000355 AZ Practitioner - Internal Medicine 4183528235 Reassigns benefits to 1 organization
I20240117004469 IN Practitioner - Internal Medicine 4183528235 Reassigns benefits to 1 organization
I20241203003222 MN Practitioner - Internal Medicine 4183528235 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Duluth Clinic LTDGroup PAC ID 2567374283, 1,135 clinicians

Practice addresses (Care Compare)

400 E 3Rd St
Duluth, MN 55805-1951
Phone (218) 786-8364

Hospital & facility affiliations

  • Essentia Health St Mary'S Medical Center Hospital, Duluth, MN, CCN 240002

Merit-based Incentive Payment System (MIPS)

Final score
83.7 of 100Reported as group
Quality
64.97
Promoting interoperability
98
Improvement activities
40
Cost
69.88

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.063506OHMDEmergency Medicine Physician
78050MNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Professional Services, Inc. Emergency Medicine CurrentSince Feb 1, 2008 Accepting new patients
Hospitalist Physicians of Indiana, PC Family Medicine CurrentSince Dec 11, 2023 Accepting new patients
The Duluth Clinic LTD Current Accepting new patients
The Duluth Clinic LTD CurrentSince Dec 9, 2024 Accepting new patients
Emergency Physician Associates of Wisconsin SC Emergency Medicine CurrentSince Jan 1, 2016 Accepting new patients
Banner Hospital Based Physicians Arizona LLC CurrentSince Jan 28, 2018 Accepting new patients
Banner Hospital Based Physicians Arizona LLC CurrentSince Jan 28, 2018 Accepting new patients
Banner Hospital Based Physicians Arizona LLC Current Accepting new patients
The Duluth Clinic, LTD. CurrentSince Dec 9, 2024 Accepting new patients
Bobcat Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Tarpon Springs Emergency Physicians, LLC Emergency Medicine Past Accepting new patients
JTDM Family Practice LLC Family Medicine Past Accepting new patients
Hospital Medicine Associates of Ohio Professional Corporation Family Medicine Past Accepting new patients
Rosebud Indian Health Service Past Accepting new patients
Muskingum Emergency Physicia Emergency Medicine Past Accepting new patients
Knox Emergency Services, LLC Emergency Medicine Past Accepting new patients
Banner Estrella Medical Center Past Accepting new patients
St Marys Medical Center Past Accepting new patients
Hospital Medicine Services of Ohio, Inc. Hospitalist Past Accepting new patients

Locations

1405 S Alma School Rd
Chandler, AZ 85286
Phone (480) 256-7000

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

9201 W Thomas Rd
Phoenix, AZ 85037
Phone (623) 327-4000

2520 E DuPont Rd
Fort Wayne, IN 46825
Phone (219) 407-8000

1850 State St
New Albany, IN 47150
Phone (812) 944-7701

400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364

307 S Evergreen Ave
Woodbury, NJ 08096
Phone (856) 686-4300

55 Hospital Dr
Athens, OH 45701
Phone (740) 592-9349

3700 Kolbe Rd
Lorain, OH 44053
Phone (440) 331-9520

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

615 Fulton St
Port Clinton, OH 43452
Phone (419) 734-3131

2001 Scioto Trl
Portsmouth, OH 45662
Phone (740) 353-1978

45 St Lawrence Dr
Tiffin, OH 44883
Phone (419) 448-1900

1250 S Washington St
Van Wert, OH 45891
Phone (419) 232-2077

125 Hospital Dr
Watertown, WI 53098
Phone (920) 261-4210

Organizations & group practices 20

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.

View all 20

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1639123409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32119 WILLOW CIR",
            "city": "AVON LAKE",
            "state": "OH",
            "postal_code": "440122133",
            "telephone_number": "440-930-2077",
            "fax_number": "440-988-6661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 E RIVER ST",
            "address_2": "EMERGENCY DEPARTMENT",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440355902",
            "telephone_number": "440-329-7450",
            "fax_number": "440-329-7646"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 E 3rd St",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "MN",
            "postal_code": "558051951",
            "country_code": "US",
            "telephone_number": "218-786-8364",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZUBERI",
        "first_name": "MUSSARET",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35.063506",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME94632",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "78050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000595762",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0887643",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elyria, OH

Sources for this page

Verify at the official NPI Registry.