DR. MARTIN MUSUMBI M.D.
NPI 1215185699
Internal Medicine - Critical Care Medicine in Belleville, IL

Active since August 28, 2008PECOS Enrolled
211 S 3RD ST, BELLEVILLE, IL 62220(618) 234-2120 Get Directions Write a Review

NPPES record last updated: June 24, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Martin Musumbi M.d. NPPES

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

DR. MARTIN MUSUMBI M.D. (NPI 1215185699) is an individual critical care medicine provider in Belleville, Illinois, licensed in Illinois (036.132705) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215185699
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameDR. MARTIN MUSUMBICredential: M.D.
Location Address211 S 3RD STBelleville, IL 62220-1915
Mailing Address211 S 3rd StBelleville, IL 62220-1915
Sole ProprietorNo
Enumeration DateAugust 28, 2008
Last NPPES UpdateJune 24, 2013
✔ NPI 1215185699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License✔ Licensed in IL · 036.132705
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal MedicineTaxonomy 207R00000X · License 2008025806 (MO)
211 S 3RD ST, Belleville, IL 62220

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Martin Musumbi 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.

Medicare Billing Reassignments

5

Medicare enrollment records show Martin Musumbi reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
1701 LACEY ST
Cape Girardeau, MO 63701
  • Reassigned Medicare billing, Missouri enrollment
  • 470 clinicians in this Medicare group
Emergency Medicine
3125 DR RUSSELL SMITH WAY
Carthage, MO 64836
  • Reassigned Medicare billing, Missouri enrollment
  • 562 clinicians in this Medicare group
Multi-Specialty
2901 S 74TH ST
Fort Smith, AR 72903
  • Reassigned Medicare billing, Arkansas enrollment
  • 658 clinicians in this Medicare group
General Acute Care Hospital
1400 E DOWNING ST
Tahlequah, OK 74464
  • Reassigned Medicare billing, Oklahoma enrollment
  • 159 clinicians in this Medicare group
Pulmonary Disease
377 SYLVAN LAKE RD STE 140
Eagle, CO 81631
  • Reassigned Medicare billing, Colorado enrollment
  • 22 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 62220 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
$131.14 typical visit price
range $56.28 – $173.35
Typical copayment $32.78 (range $14.07 – $43.33)
Most-billed visit code 99204
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
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.

Nurse Anesthetist, Certified Registered
211 S 3RD ST
BELLEVILLE, IL 62220
Pharmacist
211 S 3RD ST
BELLEVILLE, IL 62220
Specialist
211 S 3RD ST
BELLEVILLE, IL 62220
Anesthesiology
211 S 3RD ST
BELLEVILLE, IL 62220
Internal Medicine (Critical Care Medicine)
211 S 3RD ST
BELLEVILLE, IL 62220
Emergency Medicine
211 S 3RD ST
BELLEVILLE, IL 62220
Anesthesiology
211 S 3RD ST
BELLEVILLE, IL 62220
Family Medicine
211 S 3RD ST
BELLEVILLE, IL 62220

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 Martin Musumbi's NPI number?

The NPI number for Martin Musumbi is 1215185699. It was assigned to this individual provider in the NPPES registry on August 28, 2008.

Where is Martin Musumbi located?

Martin Musumbi practices at 211 S 3rd St, Belleville, IL 62220. The listed phone number is (618) 234-2120.

What is Martin Musumbi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Martin Musumbi enrolled in Medicare?

Yes. Martin Musumbi is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Martin Musumbi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Martin Musumbi reassigns Medicare benefits to 5 organizations: Southeast Missouri Hospital Physicians, LLC (Cape Girardeau, MO), Mercy Clinic Joplin LLC (Carthage, MO), Mercy Clinic Fort Smith Communities (Fort Smith, AR), Northeastern Health System (Tahlequah, OK) and Valley View Hospital Association (Eagle, CO). 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 Martin Musumbi'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 Martin Musumbi was last updated on June 24, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.