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MRS. DUSUBA MMAH KOROMA MA
NPI 1063780997
Counselor - Addiction (Substance Use Disorder) in Tewksbury, MA

Active since December 06, 2011PECOS Enrolled
170 MAIN ST # G4-G8, TEWKSBURY, MA 01876(781) 348-9041(978) 455-0274 Get Directions Write a Review

NPPES record last updated: February 15, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Dusuba Mmah Koroma Ma NPPES

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

MRS. DUSUBA MMAH KOROMA MA (NPI 1063780997) is an individual addiction (substance use disorder) provider in Tewksbury, Massachusetts, licensed in Massachusetts (13060) and active in the NPI registry since December 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063780997
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMRS. DUSUBA MMAH KOROMACredential: MA
Location Address170 MAIN ST # G4-G8Tewksbury, MA 01876-1765
Mailing Address17 Dawn AveMerrimack, NH 03054-4253 · (603) 579-9916
Phone(781) 348-9041
Fax(978) 455-0274
Sole ProprietorNo
Enumeration DateDecember 6, 2011
Last NPPES UpdateFebruary 15, 2022
NPPES CertifiedFebruary 15, 2022
✔ NPI 1063780997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in MA · 13060
170 MAIN ST # G4-G8, Tewksbury, MA 01876
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Dusuba Mmah Koroma Ma 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.

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 Dusuba Koroma's NPI number?

The NPI number for Dusuba Koroma is 1063780997. It was assigned to this individual provider in the NPPES registry on December 6, 2011.

Where is Dusuba Koroma located?

Dusuba Koroma practices at 170 Main St # G4-G8, Tewksbury, MA 01876. The listed phone number is (781) 348-9041.

What is Dusuba Koroma's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Dusuba Koroma enrolled in Medicare?

Yes. Dusuba Koroma is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Dusuba Koroma was last updated on February 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.