Tamara J Moutsatson, DO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

5101014853 Issued in MI

Practice address

2853 Health Pkwy Ste a
Mt Pleasant, MI 48858-9375

Phone

(989) 779-5222

Fax

(989) 953-5153

NPI assigned

Jun 13, 2006

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 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

Specialty

Internal Medicine

Education

Michigan State University College of Osteopathic Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

McLaren Central MichiganGroup PAC ID 6103733092, 183 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• McLaren Home Care Home health agency, Mount Pleasant, MI, CCN 237036
• McLaren Central Michigan Hospital, Mount Pleasant, MI, CCN 230080
• Mymichigan Medical Center Clare Hospital, Clare, MI, CCN 230180
• McLaren Greater Lansing Hospital, Lansing, MI, CCN 230167

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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.

• McLaren Central Michigan

  • General Acute Care Hospital
  • Mt Pleasant, MI
  • NPI 1245266063
  Medicare reassignment Care Compare group NPD
• McLaren Central Michigan

  • Anesthesiology Physician
  • Mt Pleasant, MI
  • NPI 1093742306
  NPD
• McLaren Central Michigan

  • Certified Registered Nurse Anesthetist
  • Mt Pleasant, MI
  • NPI 1154357028
  NPD
• Larry Braver DO PC

  • Family Medicine Physician
  • Grand Blanc, MI
  • NPI 1568631315
  NPD (past)
• McLaren Central Michigan

  • General Acute Care Hospital
  • Mt Pleasant, MI
  • NPI 1538195409
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• McLaren Central Michigan

  • Rural Acute Care Hospital
  • Mt Pleasant, MI
  • NPI 1619941317
  Care Compare affiliation
• McLaren Greater Lansing

  • General Acute Care Hospital
  • Lansing, MI
  • NPI 1134104672
  Care Compare affiliation
• McLaren Health Management Group

  • Home Health Agency
  • Mt Pleasant, MI
  • NPI 1386662930
  Care Compare affiliation
• Mymichigan Medical Center Clare

  • General Acute Care Hospital
  • Clare, MI
  • NPI 1568414589
  Care Compare affiliation

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552953600000",
    "number": "1821031519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2853 HEALTH PKWY STE A",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488589375",
            "telephone_number": "989-779-5222",
            "fax_number": "989-953-5153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2853 HEALTH PKWY STE A",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488589375",
            "telephone_number": "989-779-5222",
            "fax_number": "989-953-5153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUTSATSON",
        "first_name": "TAMARA",
        "middle_name": "J",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-13",
        "last_updated": "2019-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101014853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mount Pleasant Medical Associates, PLLC
• Mount Pleasant Physical Therapy
• Mountain Town Family Practice
• Mountain Town Rehab, Inc
• Michael James Moutsatson, D.O.
• Annette Mozurkewich
• Bhekumusa Msibi, D.O.
• Mt Pleasant Chiropractic PLLC
• Mt Pleasant Counseling
• Mt Pleasant Counseling PLLC

• Internal Medicine Physician in Mt Pleasant, MI
• Providers in Mt Pleasant, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2019; 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.

Verify at the official NPI Registry.