MOHAMMAD MOUSA MD
NPI 1073199089
Emergency Medicine in Modesto, CA
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
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
3Medicare enrollment records show Mohammad Mousa reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Stockton, CA 95210
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
Whittier, CA 90602
- Reassigned Medicare billing, California enrollment
- 121 clinicians in this Medicare group
Newport Beach, CA 92663
- Reassigned Medicare billing, California enrollment
- 61 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
MODESTO, CA 95356
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.
Which organizations bill Medicare for Mohammad Mousa's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mohammad Mousa reassigns Medicare benefits to 3 organizations: Permanente Medical Group Inc (Stockton, CA), Intercommunity Emergency Medical Group (Whittier, CA) and Emergency Physicians Of Orange County (Newport Beach, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mohammad Mousa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Mohammad Mousa was last updated on July 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Mohammad Mousa, MD · NPI 1073199089
Emergency Medicine physician in Modesto, California. Individual provider, active in the CMS NPPES registry since March 20, 2021.
## Identity
- **NPI:** 1073199089 (Entity type: Individual)
- **Enumerated:** March 20, 2021
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** A183506 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 4601 DALE RD, Modesto, CA 95356-9718
- **Phone:** (209) 735-6800
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Permanente Medical Group Inc (NPI 1548343510, Stockton, CA); Intercommunity Emergency Medical Group (NPI 1871535286, Whittier, CA); Emergency Physicians Of Orange County (NPI 1912771569, Newport Beach, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Arizona College Of Medicine - Phoenix, class of 2021
## Record status
- **NPPES last updated:** July 20, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1073199089) · Data from the CMS NPPES public registry.