1. Home
  2. Directory
  3. Texas
  4. Fort Worth
  5. Pediatrics
  6. NPI Profile

KATRINA L WILLIE-MUSOMA MD
NPI 1003023979
Pediatrics - Neurodevelopmental Disabilities in Fort Worth, TX

Active since May 17, 2007PECOS Enrolled
1500 COOPER ST, FORT WORTH, TX 76104(682) 303-9300(682) 303-9245 Get Directions Write a Review

NPPES record last updated: February 24, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 28, 2022, Jul 21, 2022, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Katrina L Willie-musoma Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATRINA L WILLIE-MUSOMA MD (NPI 1003023979) is an individual neurodevelopmental disabilities provider in Fort Worth, Texas, licensed in Texas (M9742) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003023979
Entity TypeIndividualFemale
Primary Taxonomy2080P0008X
Provider Legal NameKATRINA L WILLIE-MUSOMACredential: MD
Location Address1500 COOPER STFort Worth, TX 76104-2710
Mailing AddressPo Box 733784Dallas, TX 75373-3784 · (682) 885-6483 · Fax (682) 885-3113
Phone(682) 303-9300
Fax(682) 303-9245
Sole ProprietorNo
Enumeration DateMay 17, 2007
Last NPPES UpdateFebruary 24, 20264 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2026
✔ NPI 1003023979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Neurodevelopmental DisabilitiesAllopathic & Osteopathic Physicians
Taxonomy Code2080P0008X
License✔ Licensed in TX · M9742
Definition
A pediatrician who specializes in the treatment of individuals with developmental delays and learning disorders associated with cerebral palsy, spina bifida, autism, and other chronic neurologic conditions.
Also ListedPediatricsTaxonomy 208000000X · License M9742 (TX)
1500 COOPER ST, Fort Worth, TX 76104
Open in Google Maps ↗

Other Identifiers 3

Other00R86CMedicare Group Npi
Other084933301TX · Tmhp/medicaid Group Tpi
Medicaid195476005TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katrina L Willie-musoma Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SCHARLYN R HENDERSON LCSW
Social Worker (Clinical)
1500 COOPER ST
FORT WORTH, TX 76104
Tarrant County (682) 885-1475
GREGORY BARKER
Pediatrics (Pediatric Cardiology)
1500 COOPER ST
FORT WORTH, TX 76104
Tarrant County (682) 885-2140
DR. ELORA PATTANAIK CORBIN M.D.
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
1500 COOPER ST
FORT WORTH, TX 76104
Tarrant County (682) 885-2500
SHANE KELLEHER PA-C
Physician Assistant
1500 COOPER ST
FORT WORTH, TX 76104
Tarrant County (682) 885-7840
BENJAMIN CRAIG PA-C
Physician Assistant
1500 COOPER ST
FORT WORTH, TX 76104
Tarrant County (682) 885-2500
DR. SHAILENDRA DAS D.O.
Pediatrics (Pediatric Pulmonology)
1500 COOPER ST
FORT WORTH, TX 76104
Tarrant County (682) 885-6299
JAMES C CUNNINGHAM MD
Pediatrics (Pediatric Pulmonology)
1500 COOPER ST
FORT WORTH, TX 76104
Tarrant County (682) 885-6299
DOUGLAS GLENN COGDILL MD
Pediatrics (Neurodevelopmental Disabilities)
1500 COOPER ST
FORT WORTH, TX 76104
Tarrant County (817) 347-9601

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Katrina Willie-musoma's NPI number?

The NPI number for Katrina Willie-musoma is 1003023979. It was assigned to this individual provider in the NPPES registry on May 17, 2007.

Where is Katrina Willie-musoma located?

Katrina Willie-musoma practices at 1500 Cooper St, Fort Worth, TX 76104. The listed phone number is (682) 303-9300.

What is Katrina Willie-musoma's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neurodevelopmental Disabilities, with taxonomy code 2080P0008X.

Is Katrina Willie-musoma enrolled in Medicare?

Yes. Katrina Willie-musoma is registered in the Medicare PECOS enrollment system.

What insurance does Katrina Willie-musoma accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas and Imperial Insurance Companies, Inc. list Katrina Willie-musoma as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Katrina Willie-musoma was last updated on February 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.