MUTSA NYAKABAU
NPI 1568859437
Pediatrics - Adolescent Medicine in Hagerstown, MD

Active since April 18, 2015PECOS Enrolled
201 S CLEVELAND AVE, HAGERSTOWN, MD 21740(301) 745-3777(301) 393-3459 Get Directions Write a Review

NPPES record last updated: June 12, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 12, 2023, Apr 9, 2019 (2 updates tracked since 2019).

About Mutsa Nyakabau NPPES

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

MUTSA NYAKABAU (NPI 1568859437) is an individual adolescent medicine provider in Hagerstown, Maryland, licensed in Maryland (D0085119) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS and maintains a secondary practice location in Danville.

NPPES Registry Identity

NPI1568859437
Entity TypeIndividualMale
Primary Taxonomy2080A0000X
Provider Legal NameMUTSA NYAKABAU
Location Address201 S CLEVELAND AVEHagerstown, MD 21740-5745
Mailing Address1502 Heather Hollow Cir, Apt. 34Silver Spring, MD 20904-2373 · (703) 869-2785
Fax(301) 393-3459
Sole ProprietorNo
Enumeration DateApril 18, 2015
Last NPPES UpdateJune 12, 20232 updates tracked since enumeration
NPPES CertifiedJune 12, 2023
NPI 1568859437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License Licensed in MD · D0085119
Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

201 S CLEVELAND AVE, Hagerstown, MD 21740

Secondary Practice Location 1

Location 1Geisinger Medical Center 100 North Academy AveDanville, PA 17822-0001 · Phone (570) 271-6211

Medicare Participation & PECOS Enrollment Status

Mutsa Nyakabau is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for MUTSA NYAKABAU

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Other Providers at the Same Location


The following 18 providers are registered at the same or a nearby location.

Acupuncturist
201 S CLEVELAND AVE, SUITE 404
HAGERSTOWN, MD 21740
Otolaryngology
201 S CLEVELAND AVE, SUITE 403
HAGERSTOWN, MD 21740
Dentist (General Practice)
201 S CLEVELAND AVE
HAGERSTOWN, MD 21740
Clinic/Center (Dental)
201 S CLEVELAND AVE
HAGERSTOWN, MD 21740
Dentist (Dental Public Health)
201 S CLEVELAND AVE
HAGERSTOWN, MD 21740
Clinic/Center (Dental)
201 S CLEVELAND AVE
HAGERSTOWN, MD 21740
Clinic/Center (Dental)
201 S CLEVELAND AVE
HAGERSTOWN, MD 21740
Nurse Practitioner (Psychiatric/Mental Health)
201 S CLEVELAND AVE
HAGERSTOWN, MD 21740
Pharmacy (Community/Retail Pharmacy)
201 S CLEVELAND AVE, SUITE 101
HAGERSTOWN, MD 21740
Pediatrics
201 S CLEVELAND AVE
HAGERSTOWN, MD 21740
Clinic/Center (Federally Qualified Health Center (FQHC))
201 S CLEVELAND AVE
HAGERSTOWN, MD 21740
Nurse Practitioner (Family)
201 S CLEVELAND AVE
HAGERSTOWN, MD 21740
Social Worker (Clinical)
201 S CLEVELAND AVE
HAGERSTOWN, MD 21740
Dental Hygienist
201 S CLEVELAND AVE
HAGERSTOWN, MD 21740
Dental Hygienist
201 S CLEVELAND AVE
HAGERSTOWN, MD 21740
Nurse Practitioner (Family)
201 S CLEVELAND AVE
HAGERSTOWN, MD 21740
Nurse Practitioner (Family)
201 S CLEVELAND AVE
HAGERSTOWN, MD 21740
Family Medicine
201 S CLEVELAND AVE
HAGERSTOWN, MD 21740

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568859437, enumerated as an "individual" on April 18, 2015.

The provider is located at 201 S CLEVELAND AVE HAGERSTOWN, MD 21740 and the phone number is (301) 745-3777.

Pediatrics with taxonomy code 2080A0000X and a focus in Adolescent Medicine.