1. Home
  2. Directory
  3. Michigan
  4. Flint
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

MOUSA GOMAA EISSA
NPI 1336794429
Student in an Organized Health Care Education/Training Program in Flint, MI

Active since August 06, 2019PECOS Enrolled
2 HURLEY PLZ STE 101, FLINT, MI 48503(810) 262-6426 Get Directions Write a Review

NPPES record last updated: August 6, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mousa Gomaa Eissa NPPES

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

MOUSA GOMAA EISSA (NPI 1336794429) is an individual student in an organized health care education/training program in Flint, Michigan, licensed in Michigan (4351045153) and active in the NPI registry since August 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336794429
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMOUSA GOMAA EISSA
Location Address2 HURLEY PLZ STE 101Flint, MI 48503-5904
Mailing Address2 Hurley Plz Ste 101Flint, MI 48503-5904 · (810) 262-6426
Phone(810) 262-6426
Sole ProprietorNo
Enumeration DateAugust 6, 2019
✔ NPI 1336794429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in MI · 4351045153
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.
2 HURLEY PLZ STE 101, Flint, MI 48503
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mousa Gomaa Eissa 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 Mousa Eissa's NPI number?

The NPI number for Mousa Eissa is 1336794429. It was assigned to this individual provider in the NPPES registry on August 6, 2019.

Where is Mousa Eissa located?

Mousa Eissa practices at 2 Hurley Plz Ste 101, Flint, MI 48503. The listed phone number is (810) 262-6426.

What is Mousa Eissa's specialty?

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

Is Mousa Eissa enrolled in Medicare?

Yes. Mousa Eissa is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mousa Eissa was last updated on August 6, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.