NPIMap

Individual provider Active NPI

Kenneth Apollo Musana, MD

  • Gastroenterology Physician
  • Lynchburg, VA
National Provider Identifier
1952401697
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
C10025179 Issued in DE
Practice address
121 Nationwide Dr
Lynchburg, VA 24502-4272
Phone
(434) 384-1862
Fax
(434) 384-7704
NPI assigned
Sep 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 44975 WI
Internal Medicine Physician 207R00000X 0101243775 VA
Gastroenterology Physician 207RG0100X 0101243775 VA
Gastroenterology Physician 207RG0100X C10025179 DE Primary

Addresses

Primary practice location

121 Nationwide Dr
Lynchburg, VA 24502-4272

Mailing address

742 South Governors Ave
Ste 3
Dover, DE 19904-4111
Phone (302) 678-5008

Other practice location 1

742 South Governors Ave
Ste 3
Dover, DE 19904-4111
Phone (302) 678-5008

Other identifiers 1

IdentifierTypeStateIssuer
34589400MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DE2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090330000689 VA Practitioner - Internal MedicinePractitioner - Gastroenterology 0042272270 Reassigns benefits to 2 organizations
I20220726002825 DE Practitioner - GastroenterologyPractitioner - Internal Medicine 0042272270 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Gastroenterology
Education
Virginia Commonwealth University, School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastroenterology Assoc of Central Virginia Inc.Group PAC ID 1951331131, 23 clinicians
Clinch Professional Physician Services LLCGroup PAC ID 9436259223, 45 clinicians

Practice addresses (Care Compare)

121 Nationwide Dr
Suite a
Lynchburg, VA 24502-4272
Phone 4343841862643

6719 Governor GC Peery Hwy
Suite 1000
Richlands, VA 24641-0280
Phone (276) 596-6715

Hospital & facility affiliations

  • Centra Health - Lynchburg Gen Hospital Hospital, Lynchburg, VA, CCN 490021
  • Clinch Valley Medical Center Hospital, Richlands, VA, CCN 490060
  • Centra Bedford Memorial Hospital Hospital, Bedford, VA, CCN 490088

Merit-based Incentive Payment System (MIPS)

Final score
92.67 of 100Reported as group
Quality
90.58
Promoting interoperability
98
Improvement activities
40
Cost
86.66

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy294
Upper gastrointestinal (GI) endoscopy for acid reflux445

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C10025179DEMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gi Associates of Delaware PA Internal Medicine CurrentSince Aug 15, 2022 Accepting new patients
Clinch Professional Physician Services LLC CurrentSince Nov 17, 2025 Accepting new patients
Clinch Professional Physician Services LLC Gastroenterology CurrentSince Nov 17, 2025 Accepting new patients
Gastroenterology Assoc of Central Virginia Inc Gastroenterology CurrentSince Aug 6, 2012 Accepting new patients
Primedoc of Richmond PC Internal Medicine Past Accepting new patients
Primedoc St.Francis PC Internal Medicine Past Accepting new patients

Locations

742 S Governors Ave
Ste 3
Dover, DE 19904
Phone (302) 678-0724

121 Nationwide Dr
Lynchburg, VA 24502
Phone (434) 384-1862

121 Nationwide Dr
Ste A
Lynchburg, VA 24502
Phone (434) 384-1862

121 Nationwide Dr
#A
Lynchburg, VA 24502

6719 Governor Gc Peery Hwy
Ste 1000
Richlands, VA 24641
Phone (276) 596-6715

6719 Governor Gc Peery Hwy
Ste 2450
Richlands, VA 24641
Phone (276) 596-6786

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GHGACD
  • Direct secure messaging: kenneth.musana.1@19847.direct.athenahealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 9

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": "1158969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1952401697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "742 SOUTH GOVERNORS AVE",
            "address_2": "STE 3",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199044111",
            "telephone_number": "302-678-5008",
            "fax_number": "302-678-5505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 NATIONWIDE DR",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245024272",
            "telephone_number": "434-384-1862",
            "fax_number": "434-384-7704"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "742 South Governors Ave",
            "address_2": "Ste 3",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "DE",
            "postal_code": "199044111",
            "country_code": "US",
            "telephone_number": "302-678-5008",
            "fax_number": "302-678-5505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUSANA",
        "first_name": "KENNETH",
        "middle_name": "APOLLO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-23",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "44975",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101243775",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "VA",
            "license": "0101243775",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "DE",
            "license": "C10025179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34589400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynchburg, VA

Sources for this page

Verify at the official NPI Registry.