Individual provider Active NPI

Irena Muca, MD

  • Family Medicine Physician
  • Traverse City, MI
National Provider Identifier
1740661982
Registry record updated Dec 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301107845 Issued in MI
Practice address
1400 Medical Campus Dr
Traverse City, MI 49684-7823
Phone
(231) 935-8000
Fax
(231) 935-8099
NPI assigned
Jun 13, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301107845 MI Primary

Addresses

Primary practice location

1400 Medical Campus Dr
Traverse City, MI 49684-7823

Mailing address

1427 Newport St Unit 8
Traverse City, MI 49686-2302
Phone (586) 215-5998

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20170906001949 MI Practitioner - Family PracticePractitioner - Hospitalist 9537432984 Reassigns benefits to 12 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Michigan Physician Services PCGroup PAC ID 0143730671, 66 clinicians
Independent Hospitalist Physicians PLLCGroup PAC ID 3971874090, 61 clinicians
Grand Traverse Physician Services PCGroup PAC ID 2466963806, 119 clinicians
Unified Academic Physicians PCGroup PAC ID 0547746166, 19 clinicians
Pioneer Medical Group PLLCGroup PAC ID 5092075598, 21 clinicians
Otsego Physician Services PCGroup PAC ID 7416468954, 35 clinicians

Practice addresses (Care Compare)

1100 E Michgan Ave
Grayling, MI 49738-1312
Phone (989) 348-5461

1101 W University Dr
Rochester, MI 48307-1863
Phone (248) 652-5000

1105 6TH St
Traverse City, MI 49684-2345
Phone (231) 935-5000

16001 W 9 Mile Rd
Southfield, MI 48075-4818
Phone (248) 849-3000

47601 Grand River Ave
Novi, MI 48374-1233
Phone (248) 465-4100

6001 W Outer Dr
Suite 114
Detroit, MI 48235-2626
Phone (313) 966-9444

6071 W Outer Dr
Detroit, MI 48235-2624
Phone (313) 966-3300

825 N Ctr Ave
Gaylord, MI 49735-1592
Phone (989) 731-2100

Hospital & facility affiliations

  • Ascension Providence Hospital, Southfield and Novi Hospital, Southfield, MI, CCN 230019
  • Sinai-Grace Hospital Hospital, Detroit, MI, CCN 230024
  • Munson Medical Center Hospital, Traverse City, MI, CCN 230097
  • Munson Healthcare Grayling Hospital Hospital, Grayling, MI, CCN 230058
  • Munson Healthcare Otsego Memorial Hospital Hospital, Gaylord, MI, CCN 230133

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Inpatient Physicians - Michigan, PLLC Family Medicine CurrentSince Jul 1, 2018 Accepting new patients
Munson Healthcare Grayling CurrentSince Oct 13, 2017 Accepting new patients
Munson Healthcare Grayling CurrentSince Oct 13, 2017 Accepting new patients
Pioneer Medical Group PLLC CurrentSince Mar 1, 2024 Accepting new patients
Marlette Regional Hospital Family Medicine CurrentSince Nov 13, 2019 Accepting new patients
Marlette Regional Hospital Current Accepting new patients
Grand Traverse Physician Services PC Family Medicine CurrentSince Jan 3, 2026 Accepting new patients
Sound Inpatient Physicians-Michigan, PLLC Family Medicine Current Accepting new patients
Independent Hospitalist Physicians, PLLC Family Medicine CurrentSince Jun 11, 2022 Accepting new patients
Otsego Physician Services PC CurrentSince Jul 1, 2025 Accepting new patients
Future Comprehensive Care, P.C. CurrentSince Aug 1, 2021 Accepting new patients
Unified Academic Physicians PC Family Medicine CurrentSince Jan 1, 2026 Accepting new patients
North Michigan Physician Services PC Family Medicine CurrentSince Jul 1, 2025 Accepting new patients
Marlette Regional Hospital Family Medicine CurrentSince Nov 13, 2019 Accepting new patients
Comprehensive Hospital Care P C CurrentSince Aug 1, 2021 Accepting new patients
Munson Healthcare Grayling Family Medicine Past Accepting new patients
Munson Healthcare Grayling Past Accepting new patients
Munson Medical Center Past Accepting new patients
Henry Ford Health Providence Hospital Past Accepting new patients
VHS Sinai-Grace Hospital Inc Past Accepting new patients

Locations

3781 Momentum Pl
Chicago, IL 60689

400 Hobart St
Cadillac, MI 49601
Phone (231) 876-7200

14700 Lake Shore Dr
Charlevoix, MI 49720
Phone (231) 547-3840

18101 Oakwood Blvd
Dearborn, MI 48124
Phone (313) 593-8780

6001 W Outer Dr
Ste 114
Detroit, MI 48235
Phone (313) 966-9095

6071 W Outer Dr
Detroit, MI 48235
Phone (313) 966-3300

825 N Center Ave
Gaylord, MI 49735
Phone (989) 731-2100

1100 E Michigan Ave
Grayling, MI 49738
Phone (989) 348-0317

1250 E Michigan Ave
Grayling, MI 49738
Phone (989) 348-0550

1010 W North Down River Rd
Grayling, MI 49738
Phone (989) 348-0800

17177 N Laurel Park Dr
Ste 439
Livonia, MI 48152

1 Atkinson Dr
Ludington, MI 49431
Phone (231) 843-2591

2770 Main St
Marlette, MI 48453
Phone (989) 635-4000

580 W College Ave
Marquette, MI 49855
Phone (906) 225-3131

234 Lake St
Roscommon, MI 48653
Phone (517) 275-1200

800 S Washington Ave
Saginaw, MI 48601
Phone (989) 776-8000

16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000

200 Hemlock St
Tawas City, MI 48763
Phone (989) 362-0153

23300 Ecorse Rd
Taylor, MI 48180
Phone (313) 291-9500

1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

Interoperability endpoints

  • Direct secure messaging: imuca1142332@direct.hfhs.org

Organizations & group practices 22

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 22

Hospital & facility affiliations 5

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": "1434153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546214400000",
    "number": "1740661982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1427 NEWPORT ST UNIT 8",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496862302",
            "telephone_number": "586-215-5998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 MEDICAL CAMPUS DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496847823",
            "telephone_number": "231-935-8000",
            "fax_number": "231-935-8099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUCA",
        "first_name": "IRENA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-13",
        "last_updated": "2018-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301107845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

Verify at the official NPI Registry.