Active NPI
Masum Mukit, MD
- Family Medicine Physician
- Minot, ND
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- RL14660
- Practice address
- 1201 11TH Ave SW
Minot, ND 58701-4207 - Phone
- (701) 858-6700
- NPI assigned
- Jul 26, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | RL14660 | ND | Primary |
Addresses
Primary practice location
1201 11TH Ave SW
Minot, ND 58701-4207
Mailing address
1201 11TH Ave SW
Minot, ND 58701-4207
Phone (701) 858-6700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200519002062 | WI | Practitioner - Family Practice | 4880965854 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Columbia St Marys Hospital Milwaukee IncAscension Medical Group-Southeast Wisconsin Inc
Practice addresses (Care Compare)
1121 E N Ave
Milwaukee, WI 53212-3515
Phone (414) 267-6500
3070 N 51St St
Suite 106
Milwaukee, WI 53210-1661
Phone (414) 442-9911
Hospital & facility affiliations
- Ascension SE Wisconsin Hospital
- Ascension Columbia St Marys Hospital Milwaukee
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbia St. Mary'S Hospital Milwaukee Inc | Current | Accepting new patients | |
| Ascension Medical Group-Southeast Wisconsin Inc | Family Medicine | Current | Accepting new patients |
| Columbia St. Mary'S Hospital Milwaukee, Inc | Family Medicine | Current | Accepting new patients |
Locations
13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400
1121 E North Ave
Milwaukee, WI 53212
Phone (414) 267-6500
3070 N 51st St
Ste 106
Milwaukee, WI 53210
Phone (414) 442-9911
3070 N 51st St
Milwaukee, WI 53210
Phone (414) 442-9911
13111 N Port Washington Rd
Thiensville, WI 53097
Phone (262) 243-7300
201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228
801 S 70th St
West Allis, WI 53214
Phone (414) 773-6600
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.
-
- Internal Medicine Physician
- Glendale, WI
- NPI 1609881077
Family Medicine, WI
-
- Multi-Specialty Clinic/Center
- Milwaukee, WI
- NPI 1023064482
Family Medicine, WI
-
- Community/Retail Pharmacy
- Milwaukee, WI
- NPI 1659362101
-
- Anesthesiology Physician
- Glendale, WI
- NPI 1073832218
-
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1871656082
-
- Psychiatric Hospital Unit
- Mequon, WI
- NPI 1417600909
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1427007384
Hospital
-
- Rehabilitation Hospital Unit
- Brookfield, WI
- NPI 1861417362
Hospital
-
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1871656082
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1982128542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 11TH AVE SW",
"city": "MINOT",
"state": "ND",
"postal_code": "587014207",
"telephone_number": "701-858-6700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 11TH AVE SW",
"city": "MINOT",
"state": "ND",
"postal_code": "587014207",
"telephone_number": "701-858-6700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUKIT",
"first_name": "MASUM",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-07-26",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ND",
"license": "RL14660",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minot, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.