MOUSA GOMAA EISSA
NPI 1336794429
Student in an Organized Health Care Education/Training Program in Flint, MI
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 and is a graduate of Other (2011).
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 (PECOS)
Mousa Gomaa Eissa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Mousa Eissa reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Omaha, NE 68124
- Reassigned Medicare billing, Nebraska enrollment
- 1,045 clinicians in this Medicare group
Lincoln, NE 68510
- Reassigned Medicare billing, Nebraska enrollment
- 525 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.
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.
Which organizations bill Medicare for Mousa Eissa's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mousa Eissa reassigns Medicare benefits to 2 organizations: Alegent Creighton Clinic (Omaha, NE) and Chi Health Clinic Specialty, LLC (Lincoln, NE). 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 Mousa Eissa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mousa Eissa accept?
Health plans from Blue Cross and Blue Shield of Nebraska and Oscar Insurance Company list Mousa Eissa 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.
When was this NPI record last updated?
The NPPES record for Mousa Eissa was last updated on August 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Mousa Gomaa Eissa · NPI 1336794429
Student in an Organized Health Care Education/Training Program provider in Flint, Michigan. Individual provider, active in the CMS NPPES registry since August 6, 2019.
## Identity
- **NPI:** 1336794429 (Entity type: Individual)
- **Enumerated:** August 6, 2019
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **State license:** 4351045153 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 2 HURLEY PLZ STE 101, Flint, MI 48503-5904
- **Phone:** (810) 262-6426
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Alegent Creighton Clinic (NPI 1548287907, Omaha, NE); Chi Health Clinic Specialty, LLC (NPI 1285138065, Lincoln, NE) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** August 6, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1336794429) · Data from the CMS NPPES public registry.