MOHAMMAD MOUSA MD
NPI 1073199089
Emergency Medicine in Modesto, CA

Active since March 20, 2021PECOS EnrolledAccepts Medicare Assignment
4601 DALE RD, MODESTO, CA 95356(209) 735-6800 Get Directions Write a Review

NPPES record last updated: July 20, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 20, 2024, May 24, 2023, Mar 20, 2021 (3 updates tracked since 2021).

About Mohammad Mousa Md NPPES

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

MOHAMMAD MOUSA MD (NPI 1073199089) is an individual emergency medicine provider in Modesto, California, licensed in California (A183506) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Manteca, and is a graduate of University Of Arizona College Of Medicine - Phoenix (2021).

NPPES Registry Identity

NPI1073199089
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameMOHAMMAD MOUSACredential: MD
Location Address4601 DALE RDModesto, CA 95356-9718
Mailing Address4601 Dale RdModesto, CA 95356-9718
Sole ProprietorNo
Medical School CMSUniversity Of Arizona College Of Medicine - PhoenixGraduated 2021
Enumeration DateMarch 20, 2021
Last NPPES UpdateJuly 20, 20243 updates tracked since enumeration
NPPES CertifiedJuly 20, 2024
NPI 1073199089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in CA · A183506
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

4601 DALE RD, Modesto, CA 95356

Secondary Practice Location 1

Location 11777 W Yosemite AveManteca, CA 95337-5130 · Phone (209) 825-3555

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

Mohammad Mousa 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 ID2860840907
PECOS Enrollment IDI20231129002711
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95356 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

Emergency Medicine
4601 DALE RD
MODESTO, CA 95356
Student in an Organized Health Care Education/Training Program
4601 DALE RD
MODESTO, CA 95356
Student in an Organized Health Care Education/Training Program
4601 DALE RD
MODESTO, CA 95356
Internal Medicine
4601 DALE RD
MODESTO, CA 95356
Surgery
4601 DALE RD, SUITE 4A5
MODESTO, CA 95356
Internal Medicine (Gastroenterology)
4601 DALE RD
MODESTO, CA 95356
Respiratory Therapist, Registered
4601 DALE RD
MODESTO, CA 95356
Pharmacist
4601 DALE RD
MODESTO, CA 95356

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 Mohammad Mousa's NPI number?

The NPI number for Mohammad Mousa is 1073199089. It was assigned to this individual provider in the NPPES registry on March 20, 2021.

Where is Mohammad Mousa located?

Mohammad Mousa practices at 4601 Dale Rd, Modesto, CA 95356. The listed phone number is (209) 735-6800.

What is Mohammad Mousa's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Mohammad Mousa enrolled in Medicare?

Yes. Mohammad Mousa is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Mohammad Mousa was last updated on July 20, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.