Active NPI
Musu Komeyan, NURSE PRACTITIONER
- Family Nurse Practitioner
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R222826
- Practice address
- 2041 Georgia Ave NW
Washington, DC 20060-0001 - Phone
- (202) 865-3210
- NPI assigned
- Jul 21, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 1043754 | DC | |
| Family Nurse Practitioner | 363LF0000X | R222826 | MD | Primary |
Addresses
Primary practice location
2041 Georgia Ave NW
Washington, DC 20060-0001
Mailing address
3615 Edmond Way
Bowie, MD 20716-1275
Phone (301) 433-2023
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7520 Surratts Rd
Clinton, MD 20735-3353
Phone (301) 856-1660
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1043754 | DC | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Humaneness Healthcare Services | Current | Accepting new patients | |
| Humaneness Provider Care Services LLC | Multi-Specialty | Current | Accepting new patients |
| Genesis Eldercare Physician Services LLC | Multi-Specialty | Current | Accepting new patients |
| Genesis Eldercare Physician Services LLC | Multi-Specialty | Current | Accepting new patients |
| Genesis Eldercare Physician Services LLC | Multi-Specialty | Current | Accepting new patients |
| Alignmed Medical Group, PC | Multi-Specialty | Current | Accepting new patients |
| Alignmed Partners, PC | Multi-Specialty | Current | Accepting new patients |
Locations
3330 Wilkens Ave
Baltimore, MD 21229
Phone (410) 525-1544
7520 Surratts Rd
Clinton, MD 20735
Phone (301) 856-1600
347 Ballenger Center Dr
Frederick, MD 21703
Phone (301) 633-5181
1801 Wentworth Rd
Parkville, MD 21234
Phone (410) 661-5717
4409 East West Hwy
Riverdale Park, MD 20737
Phone (301) 699-2000
9200 Franklin Square Dr
Rosedale, MD 21237
Phone (410) 390-2600
310 Genesis Way
Ste 600
Severna Park, MD 21146
Phone (410) 544-4220
3227 Bel Pre Rd
Silver Spring, MD 20906
Phone (301) 871-2000
Organizations & group practices 7
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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Baltimore, MD
- NPI 1366289423
DC, Multi-Specialty
-
- Family Nurse Practitioner
- Laurel, MD
- NPI 1083411136
Multi-Specialty
-
- Geriatric Medicine (Internal Medicine) Physician
- Gardendale, AL
- NPI 1881109452
DC, MD, Multi-Specialty
-
- Internal Medicine Physician
- Arlington, VA
- NPI 1588690135
DC, Multi-Specialty
-
- Geriatric Medicine (Internal Medicine) Physician
- Salisbury, MD
- NPI 1881635183
Multi-Specialty
-
- Home Health Agency
- Laurel, MD
- NPI 1992520191
-
- Geriatric Medicine (Internal Medicine) Physician
- Towson, MD
- NPI 1699280511
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697587200000",
"number": "1730752486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3615 EDMOND WAY",
"city": "BOWIE",
"state": "MD",
"postal_code": "207161275",
"telephone_number": "301-433-2023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2041 GEORGIA AVE NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200600001",
"telephone_number": "202-865-3210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOMEYAN",
"first_name": "MUSU",
"credential": "NURSE PRACTITIONER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-21",
"last_updated": "2023-10-18",
"certification_date": "2023-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": "DC",
"license": "1043754",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "R222826",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; 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.
- 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.