ADRITA NOURIN MOU MD
NPI 1043109275
Internal Medicine in Bay City, MI

Q: What is Adrita Nourin Mou's NPI number?

The NPI number for Adrita Nourin Mou is 1043109275. It was assigned to this individual provider in the NPPES registry on July 1, 2025.

Q: What is Adrita Nourin Mou's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Adrita Nourin Mou was last updated on May 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since July 01, 2025PECOS EnrolledAccepts Medicare Assignment

1900 COLUMBUS AVE, BAY CITY, MI 48708(989) 894-3000 Get Directions Write a Review

NPPES record last updated: May 7, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 7, 2026, Jul 1, 2025 (2 updates tracked since 2025).

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About Adrita Nourin Mou Md NPPES

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

ADRITA NOURIN MOU MD (NPI 1043109275) is an individual internal medicine provider in Bay City, Michigan, licensed in Michigan (4351056033) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS, is affiliated with Wynn Hospital, and maintains a secondary practice location in Rome.

NPPES Registry Identity

NPI1043109275

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameADRITA NOURIN MOUCredential: MD

Location Address1900 COLUMBUS AVEBay City, MI 48708-6880

Mailing Address5470 Cameron Ellis Dr Apt 108Westerville, OH 43081-9029 · (216) 703-9237

Phone(989) 894-3000

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateJuly 1, 2025

Last NPPES UpdateMay 7, 20262 updates tracked since enumeration

NPPES CertifiedMay 7, 2026

✔ NPI 1043109275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in MI · 4351056033✔ Licensed in NY · P136220

Definition

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.

1900 COLUMBUS AVE, Bay City, MI 48708

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Secondary Practice Location 1

Location 1801 N James StRome, NY 13440-3524 · Phone (315) 533-1600

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Adrita Nourin Mou Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5991203283

PECOS Enrollment IDI20250806004032

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wynn Hospital

Acute Care Hospitals · Utica, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330044

Location111 Hospital DriveUtica, NY 13502 · Oneida County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48708 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$126.15 typical visit price

range $54.34 – $166.68

Typical copayment $31.53 (range $13.58 – $41.67)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

JESSICA ELIZABETH CHRYSLER FNP-C

Nurse Practitioner (Family)