Mary Usha Musuku, M.D

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

MD439389 Issued in PA

Practice address

Temple University Hospital
Boyer Pavilion 2ND Floor,3509 North Broad Street
Philadelphia, PA 19140

Phone

(215) 707-4739

NPI assigned

Jun 17, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Trinity Health Mid-Atlantic Medical Group

  • Surgery Physician
  • Langhorne, PA
  • NPI 1972982361

  PA

  Medicare reassignment NPD
• Trinity Health Mid-Atlantic Medical Group

  • Family Medicine Physician
  • Philadelphia, PA
  • NPI 1598289209
  NPD
• Trinity Health Mid-Atlantic Medical Group

  • Physical Medicine & Rehabilitation Physician
  • Philadelphia, PA
  • NPI 1639039175
  NPD
• Care Pavilion Operating, LLC

  • Skilled Nursing Facility
  • Philadelphia, PA
  • NPI 1659815157
  NPD (past)
• CP Operating LLC

  • Skilled Nursing Facility
  • Philadelphia, PA
  • NPI 1306656921
  NPD (past)
• Mercy Management of Southeastern Pennsylvania

  • Internal Medicine Physician
  • Philadelphia, PA
  • NPI 1194701292
  NPD (past)
• Providence Operator LLC

  • Skilled Nursing Facility
  • Lansdowne, PA
  • NPI 1043722960
  NPD (past)
• Yeadon Operations LLC

  • Skilled Nursing Facility
  • Yeadon, PA
  • NPI 1184200594
  NPD (past)
• Yeadon SNF Operations LLC

  • Skilled Nursing Facility
  • Yeadon, PA
  • NPI 1588498638
  NPD (past)

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

{
    "created_epoch": "1245196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518134400000",
    "number": "1760619795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 W ELM ST",
            "address_2": "STE 100",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "194284108",
            "telephone_number": "610-789-5013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TEMPLE UNIVERSITY HOSPITAL",
            "address_2": "BOYER PAVILION 2ND FLOOR,3509 NORTH BROAD STREET",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19140",
            "telephone_number": "215-707-4739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSUKU",
        "first_name": "MARY",
        "middle_name": "USHA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-17",
        "last_updated": "2018-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "PA",
            "license": "MD439389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Leonard Mustazza, DMD, MS
• Justin Muste, MD
• Irene Musten, O.D.
• Mohamado Musthaq, M.D.
• Michelle M Mustin
• Kiran Musunuru, M.D., PH.D.
• Dorotea Mutabdzic, MD
• Faith Mutale, CRNP
• Erica Mutchnick, MS
• Mahisha Virdiana Muthu Sivan, MBBS

• All providers in Philadelphia, PA
• Geriatric Medicine (Internal Medicine) Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.