Individual provider Active NPI

M. Cornelious Musara, MD, FACS

  • Surgery Physician
  • Glen Burnie, MD
National Provider Identifier
1861467110
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
D0059105 Issued in MD
Practice address
7801 Elvaton Rd
Suite 4
Glen Burnie, MD 21061
Phone
(410) 768-0074
Fax
(410) 768-0075
NPI assigned
Feb 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X D0059105 MD Primary

Addresses

Primary practice location

7801 Elvaton Rd
Suite 4
Glen Burnie, MD 21061

Mailing address

PO Box 696
Fulton, MD 20759-0696
Phone (410) 768-0074

Other identifiers 1

IdentifierTypeStateIssuer
378221200MedicaidMD

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
I20040706000182 MD Practitioner - General Surgery 3870570153 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7671 Quarterfield Rd
Suite 302
Glen Burnie, MD 21061-4525
Phone (410) 768-0074

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)12
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0059105MDMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Antares Medical LLC Surgery CurrentSince Feb 1, 2012 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Ashwin L. Nanavati MD, Facs, LLC Surgery Past Accepting new patients

Locations

7671 Quarterfield Rd
Ste 302
Glen Burnie, MD 21061
Phone (410) 553-6360

Interoperability endpoints

  • Direct secure messaging: mmusara52173@direct.hopkinsmedicine.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/JHCBCA/Endpoint/JHCBCA
  • Direct secure messaging: mmusara44299@direct.umm.edu

Organizations & group practices 3

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 1

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": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1861467110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 696",
            "city": "FULTON",
            "state": "MD",
            "postal_code": "207590696",
            "telephone_number": "410-768-0074",
            "fax_number": "410-768-0075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7801 ELVATON RD",
            "address_2": "SUITE 4",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "21061",
            "telephone_number": "410-768-0074",
            "fax_number": "410-768-0075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSARA",
        "first_name": "M.",
        "middle_name": "CORNELIOUS",
        "credential": "MD, FACS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-21",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MD",
            "license": "D0059105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "378221200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

Verify at the official NPI Registry.