MUSA MODAD MD NPI 1902917834

NPI Information

  • NPI: 1902917834
  • Provider Name: MUSA MODAD, MD
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Individual
  • Address: 719 S MAIN ST
    MOSCOW, ID
    ZIP 83843
  • Phone: (208) 883-1152

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NPI Details

Musa Modad, MD is an internal medicine in Moscow, ID. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. Musa Modad, MD NPI is 1902917834. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

719 S MAIN ST
MOSCOW, ID
ZIP 83843-041
Phone: (208) 883-1152
Fax: (208) 882-1486

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Annual depression screening, 15 minutes (HCPCS:G0444)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine, quadrivalent derived from recombinant dna (HCPCS:90682)
  • Destruction of precancer skin growth, 2-14 growths (HCPCS:17003)
  • Destruction of precancer skin growth, 1 growth (HCPCS:17000)
  • Urinalysis, manual test (HCPCS:81002)
  • Biopsy of related skin growth, first growth (HCPCS:11102)

The enumeration date for this NPI number is 8/31/2006 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207P00000XEmergency Medicine103780MISSOURINo
2207R00000XInternal Medicine103780MISSOURINo
3207R00000XInternal MedicineM-12814IDAHOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1P00430675OTHERRAILROAD MEDICARE
2206687410MEDICAIDMISSOURI
3M-12814OTHERIDAHOIDAHO LICENSE
41902917834MEDICAIDMISSOURI
51235680703OTHERIDAHONPI # FOR INTERNAL MEDICINE CLINIC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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