RUTH KIMO MUSA M.D.
NPI 1174218168
Student in an Organized Health Care Education/Training Program in Minneapolis, MN

Active since April 06, 2023PECOS Enrolled
2426 WEST BROADWAY AVENUE, MINNEAPOLIS, MN 55411(612) 302-8200 Get Directions Write a Review

NPPES record last updated: October 3, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Oct 3, 2023, Apr 6, 2023 (2 updates tracked since 2023).

About Ruth Kimo Musa M.d. NPPES

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

RUTH KIMO MUSA M.D. (NPI 1174218168) is an individual student in an organized health care education/training program in Minneapolis, Minnesota and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174218168
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameRUTH KIMO MUSACredential: M.D.
Location Address2426 WEST BROADWAY AVENUEMinneapolis, MN 55411
Mailing Address2426 West Broadway AvenueMinneapolis, MN 55411 · (612) 302-8200
Sole ProprietorNo
Enumeration DateApril 6, 2023
Last NPPES UpdateOctober 3, 20232 updates tracked since enumeration
NPPES CertifiedApril 6, 2023
NPI 1174218168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2426 WEST BROADWAY AVENUE, Minneapolis, MN 55411

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ruth Kimo Musa M.d. 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 Ruth Kimo Musa's NPI number?

The NPI number for Ruth Kimo Musa is 1174218168. It was assigned to this individual provider in the NPPES registry on April 6, 2023.

Where is Ruth Kimo Musa located?

Ruth Kimo Musa practices at 2426 West Broadway Avenue, Minneapolis, MN 55411. The listed phone number is (612) 302-8200.

What is Ruth Kimo Musa's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Ruth Kimo Musa enrolled in Medicare?

Yes. Ruth Kimo Musa is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ruth Kimo Musa was last updated on October 3, 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.