DR. MASIKU AGATHA MDALA-GAUSI M.D.
NPI 1164725180
Hospitalist in Wexford, PA
About Dr. Masiku Agatha Mdala-gausi M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MASIKU AGATHA MDALA-GAUSI M.D. (NPI 1164725180) is an individual hospitalist provider in Wexford, Pennsylvania, licensed in Pennsylvania (MD479811) and active in the NPI registry since December 2010. She is enrolled in Medicare PECOS, is affiliated with North Carolina Baptist Hospital, and is a graduate of Other (1996).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Dr. Masiku Agatha Mdala-gausi M.d. 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
7Medicare enrollment records show Masiku Mdala-gausi reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Wexford, PA 15090
- Reassigned Medicare billing, Pennsylvania enrollment
- 2,881 clinicians in this Medicare group
Youngstown, OH 44504
- Reassigned Medicare billing, Ohio enrollment
- 744 clinicians in this Medicare group
Harrisburg, PA 17109
- Reassigned Medicare billing, Pennsylvania enrollment
- 322 clinicians in this Medicare group
Reidsville, NC 27320
- Reassigned Medicare billing, North Carolina enrollment
- 691 clinicians in this Medicare group
Winston Salem, NC 27157
- Reassigned Medicare billing, North Carolina enrollment
- 3,003 clinicians in this Medicare group
Rocky Mount, NC 27804
- Reassigned Medicare billing, North Carolina enrollment
- 393 clinicians in this Medicare group
Elizabeth City, NC 27909
- Reassigned Medicare billing, North Carolina enrollment
- 77 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.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
North Carolina Baptist Hospital
Acute Care Hospitals · Winston-Salem, NCMoses H. Cone Memorial Hospital, The
Acute Care Hospitals · Greensboro, NCUpmc Hanover
Acute Care Hospitals · Hanover, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 15090 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
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 Masiku Mdala-gausi's NPI number?
The NPI number for Masiku Mdala-gausi is 1164725180. It was assigned to this individual provider in the NPPES registry on December 14, 2010.
Where is Masiku Mdala-gausi located?
Masiku Mdala-gausi practices at 12351 Perry Hwy, Wexford, PA 15090. The listed phone number is (412) 359-3030.
What is Masiku Mdala-gausi's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Masiku Mdala-gausi enrolled in Medicare?
Yes. Masiku Mdala-gausi 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 Masiku Mdala-gausi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Masiku Mdala-gausi reassigns Medicare benefits to 7 organizations: Allegheny Clinic (Wexford, PA), Mercy Health Physicians Youngstown Specialty Care LLC (Youngstown, OH), Pinnacle Health Hospitalist Services LLC (Harrisburg, PA), Moses Cone Physician Services, Inc. (Reidsville, NC), Wake Forest University Health Sciences (Winston Salem, NC) and 2 more organizations, listed in the Medicare section above. 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 Masiku Mdala-gausi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Masiku Mdala-gausi accept?
Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC, Cigna Healthcare and Oscar Health Plan of North Carolina, Inc list Masiku Mdala-gausi 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.
Is Masiku Mdala-gausi affiliated with any hospitals?
According to CMS data, Masiku Mdala-gausi is affiliated with North Carolina Baptist Hospital, Moses H. Cone Memorial Hospital, The and Upmc Hanover.
When was this NPI record last updated?
The NPPES record for Masiku Mdala-gausi was last updated on December 5, 2023. 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.
# Dr. Masiku Agatha Mdala-Gausi, M.D. · NPI 1164725180
Hospitalist physician in Wexford, Pennsylvania. Individual provider, active in the CMS NPPES registry since December 14, 2010.
## Identity
- **NPI:** 1164725180 (Entity type: Individual)
- **Enumerated:** December 14, 2010
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** MD479811 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 12351 PERRY HWY, Wexford, PA 15090-8344
- **Phone:** (412) 359-3030 · **Fax:** (412) 359-3060
## 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:** 7 organizations under Medicare reassignment (form CMS-855R): Allegheny Clinic (NPI 1245639749, Wexford, PA); Mercy Health Physicians Youngstown Specialty Care LLC (NPI 1609544055, Youngstown, OH); Pinnacle Health Hospitalist Services LLC (NPI 1023458148, Harrisburg, PA); Moses Cone Physician Services, Inc. (NPI 1194233171, Reidsville, NC); Wake Forest University Health Sciences (NPI 1003803032, Winston Salem, NC); and 2 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1996
## Record status
- **NPPES last updated:** December 5, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1164725180) · Data from the CMS NPPES public registry.