Individual provider Active NPI

Deogratias Mugisha

  • Administrator Registered Nurse
  • Woburn, MA
National Provider Identifier
1902718125
Registry record updated Sep 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Administrator Registered NurseTaxonomy code 163WA2000X
License
RN2269015 Issued in MA
Practice address
54 Cummings Park Ste 306
Woburn, MA 01801-2192
Phone
(857) 524-5122
Fax
(781) 281-0650
NPI assigned
Sep 22, 2026
Last updated
Sep 22, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Administrator Registered Nurse 163WA2000X RN2269015 MA Primary

Addresses

Primary practice location

54 Cummings Park Ste 306
Woburn, MA 01801-2192

Mailing address

54 Cummings Park Ste 306
Woburn, MA 01801-2192
Phone (857) 524-5122

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790035200000",
    "number": "1902718125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 CUMMINGS PARK STE 306",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018012192",
            "telephone_number": "857-524-5122",
            "fax_number": "781-281-0650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 CUMMINGS PARK STE 306",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018012192",
            "telephone_number": "857-524-5122",
            "fax_number": "781-281-0650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUGISHA",
        "first_name": "DEOGRATIAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-09-22",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "MA",
            "license": "RN2269015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woburn, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.