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DR. MUSSARET ZUBERI M.D.
NPI 1639123409
Internal Medicine in Elyria, OH

Active since May 19, 2006PECOS EnrolledAccepts Medicare Assignment
92.29/100
CMS Quality Rating
630 E RIVER ST, EMERGENCY DEPARTMENT, ELYRIA, OH 44035(440) 329-7450(440) 329-7646 Get Directions Write a Review

NPPES record last updated: November 25, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Dr. Mussaret Zuberi M.d. NPPES

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

DR. MUSSARET ZUBERI M.D. (NPI 1639123409) is an individual internal medicine provider in Elyria, Ohio, licensed in Minnesota (78050) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Essentia Health St Mary's Medical Center, and maintains a secondary practice location in Duluth.

NPPES Registry Identity

NPI1639123409
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. MUSSARET ZUBERICredential: M.D.
Location Address630 E RIVER ST, EMERGENCY DEPARTMENTElyria, OH 44035-5902
Mailing Address32119 Willow CirAvon Lake, OH 44012-2133 · (440) 930-2077 · Fax (440) 988-6661
Phone(440) 329-7450
Fax(440) 329-7646
Sole ProprietorYes
Medical School CMSOtherGraduated 1981
Enumeration DateMay 19, 2006
Last NPPES UpdateNovember 25, 2024
NPPES CertifiedNovember 25, 2024
✔ NPI 1639123409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MN · 78050
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 35.063506 (OH), ME94632 (FL)
630 E RIVER ST, Elyria, OH 44035
Open in Google Maps ↗

Secondary Practice Location 1

Location 1400 E 3rd StDuluth, MN 55805-1951 · Phone (218) 786-8364

Other Identifiers 2

Other000000595762OH · Anthem
Medicaid0887643OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, CareSource, Medica and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Mussaret Zuberi M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4183528235
PECOS Enrollment IDI20241203003222
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
217 services95 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
42 services42 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
25 services25 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Essentia Health St Mary's Medical Center

Acute Care Hospitals · Duluth, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240002
Location402 East Second StreetDuluth, MN 55805 · St. Louis County
Emergency services Birthing friendly

Essentia Health Duluth

Acute Care Hospitals · Duluth, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240019
Location502 East Second StreetDuluth, MN 55805 · St. Louis County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44035 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability98
Improvement Activities40
Cost66.94

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier30 claims30 services$16.34 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier29 claims29 services$78.07 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

JESSICA ANNE YAGER
Nurse Anesthetist, Certified Registered
630 E RIVER ST
ELYRIA, OH 44035
Lorain County (440) 323-8515
BRETZYL M LISCOE
Nurse Practitioner (Critical Care Medicine)
630 E RIVER ST
ELYRIA, OH 44035
Lorain County (440) 323-8515
WILLIAM BROWN
Physician Assistant
630 E RIVER ST
ELYRIA, OH 44035
Lorain County (440) 326-5414
MARY LAURETTA GILCHRIST
Nurse Practitioner (Family)
630 E RIVER ST
ELYRIA, OH 44035
Lorain County (440) 329-7500
MS. AMY M. KING NP
Nurse Practitioner (Adult Health)
630 E RIVER ST
ELYRIA, OH 44035
Lorain County (440) 329-7500
DR. ALLAN F STARR MD
Emergency Medicine
630 E RIVER ST
ELYRIA, OH 44035
Lorain County (440) 329-7500
DR. KALVA S. REDDY M.D.
Anesthesiology
630 E RIVER ST
ELYRIA, OH 44035
Lorain County (440) 329-7500
AMY M KOVALSKY RN, CNP
Nurse Practitioner (Adult Health)
630 E RIVER ST
ELYRIA, OH 44035
Lorain County (440) 329-7500

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 Mussaret Zuberi's NPI number?

The NPI number for Mussaret Zuberi is 1639123409. It was assigned to this individual provider in the NPPES registry on May 19, 2006.

Where is Mussaret Zuberi located?

Mussaret Zuberi practices at 630 E River St Emergency Department, Elyria, OH 44035. The listed phone number is (440) 329-7450.

What is Mussaret Zuberi's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Mussaret Zuberi enrolled in Medicare?

Yes. Mussaret Zuberi is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mussaret Zuberi accept?

Health plans from Blue Cross Blue Shield of Arizona, CareSource, Medica and Oscar Health Plan, Inc. list Mussaret Zuberi 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.

Is Mussaret Zuberi affiliated with any hospitals?

According to CMS data, Mussaret Zuberi is affiliated with Essentia Health St Mary's Medical Center and Essentia Health Duluth.

When was this NPI record last updated?

The NPPES record for Mussaret Zuberi was last updated on November 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.