Individual provider Active NPI

Nyasha Hazel Mufuka, MD

  • Internal Medicine Physician
  • Frederick, MD
National Provider Identifier
1649625138
Registry record updated Jul 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D86997 Issued in MD
Practice address
1562 Opossumtown Pike
Frederick, MD 21702-4920
Phone
(240) 215-6310
NPI assigned
May 3, 2016
Last updated
Jul 12, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D86997 MD Primary

Addresses

Primary practice location

1562 Opossumtown Pike
Frederick, MD 21702-4920

Mailing address

400 W 7TH St
Frederick, MD 21701-4593
Phone (240) 566-3300

Other practice location 1

400 W 7th St
Frederick, MD 21701-4593
Phone (240) 566-3300

Other practice location 2

15 E Frederick St
Walkersville, MD 21793-8234
Phone (240) 215-6310

Other practice location 3

504 E Ridgeville Blvd
Mount Airy, MD 21771-5942
Phone (240) 215-6310

Other practice location 4

7211 Bank Ct
Frederick, MD 21703-8483
Phone (240) 215-6310

Other practice location 5

194 Thomas Johnson Dr
Frederick, MD 21702-4679
Phone (240) 215-6310

Other practice location 6

4500 Parsons Blvd
Flushing, NY 11355-2205
Phone (718) 670-5939

Other practice location 7

3000D Ventrie Ct
Myersville, MD 21773-7817
Phone (240) 215-6310

Other practice location 8

501 W 7th St
Frederick, MD 21701-4586
Phone (240) 215-6310

Other practice location 9

230 W Patrick St
Frederick, MD 21701-6945
Phone (240) 215-6310

Other practice location 10

3430 Worthington Blvd
Frederick, MD 21704-7017
Phone (240) 215-6310

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20190911000710 MD Practitioner - Internal Medicine 5294070306 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

194 Thomas Johnson Dr
Frederick, MD 21702-4679
Phone (240) 215-6310

400 W 7TH St
Frederick, MD 21701-4506
Phone (240) 566-3300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D86997MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Medical Group LLC CurrentSince Aug 1, 2022 Accepting new patients
Frederick Health Medical Group LLC CurrentSince Aug 1, 2022 Accepting new patients
Hospitalist Medicine Physicians of Maryland PC Internal Medicine CurrentSince Aug 1, 2019 Accepting new patients
Frederick Health Medical Group LLC Internal Medicine Current Accepting new patients
Hospitalist Medicine Physicians of Maryland PC Internal Medicine CurrentSince Aug 1, 2019 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255

1562 Opossumtown Pike
Frederick, MD 21702
Phone (240) 566-4500

194 Thomas Johnson Dr
Frederick, MD 21702
Phone (240) 215-6370

194 Thomas Johnson Dr
Ste C
Frederick, MD 21702
Phone (240) 379-6636

230 W Patrick St
Frederick, MD 21701
Phone (240) 215-6370

400 W 7th St
Frederick, MD 21701
Phone (240) 566-3300

501 W 7th St
Frederick, MD 21701
Phone (301) 360-2574

504 E Ridgeville Blvd
Mount Airy, MD 21771
Phone (301) 703-5452

3000D Ventrie Ct
Myersville, MD 21773
Phone (301) 663-3137

3430 Worthington Blvd
Urbana, MD 21704
Phone (240) 215-6900

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

Organizations & group practices 6

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.

Hospital & facility affiliations 6

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": "1462233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1649625138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W 7TH ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014593",
            "telephone_number": "240-566-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1562 OPOSSUMTOWN PIKE",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024920",
            "telephone_number": "240-215-6310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 W 7th St",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217014593",
            "country_code": "US",
            "telephone_number": "240-566-3300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15 E Frederick St",
            "address_purpose": "LOCATION",
            "city": "Walkersville",
            "state": "MD",
            "postal_code": "217938234",
            "country_code": "US",
            "telephone_number": "240-215-6310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "504 E Ridgeville Blvd",
            "address_purpose": "LOCATION",
            "city": "Mount Airy",
            "state": "MD",
            "postal_code": "217715942",
            "country_code": "US",
            "telephone_number": "240-215-6310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7211 Bank Ct",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217038483",
            "country_code": "US",
            "telephone_number": "240-215-6310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "194 Thomas Johnson Dr",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217024679",
            "country_code": "US",
            "telephone_number": "240-215-6310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4500 Parsons Blvd",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113552205",
            "country_code": "US",
            "telephone_number": "718-670-5939",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3000D Ventrie Ct",
            "address_purpose": "LOCATION",
            "city": "Myersville",
            "state": "MD",
            "postal_code": "217737817",
            "country_code": "US",
            "telephone_number": "240-215-6310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 W 7th St",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217014586",
            "country_code": "US",
            "telephone_number": "240-215-6310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "230 W Patrick St",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217016945",
            "country_code": "US",
            "telephone_number": "240-215-6310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3430 Worthington Blvd",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217047017",
            "country_code": "US",
            "telephone_number": "240-215-6310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUFUKA",
        "first_name": "NYASHA",
        "middle_name": "HAZEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-03",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D86997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.