NOMSA MUSEMWA M.D
NPI 1639437510
Hospitalist in Lawrenceville, GA

Q: What is Nomsa Musemwa's NPI number?

The NPI number for Nomsa Musemwa is 1639437510. It was assigned to this individual provider in the NPPES registry on April 27, 2012.

Q: What is Nomsa Musemwa's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: When was this NPI record last updated?

The NPPES record for Nomsa Musemwa was last updated on March 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since April 27, 2012PECOS EnrolledAccepts Medicare Assignment

1000 MEDICAL CENTER BLVD, LAWRENCEVILLE, GA 30046(678) 312-3294(678) 312-3282 Get Directions Write a Review

NPPES record last updated: March 5, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 5, 2023, Mar 17, 2018 (2 updates tracked since 2018).

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About Nomsa Musemwa M.d NPPES

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

NOMSA MUSEMWA M.D (NPI 1639437510) is an individual hospitalist provider in Lawrenceville, Georgia, licensed in Georgia (78955) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS, is affiliated with Northside Hospital Gwinnett, and maintains a secondary practice location in Brooklyn.

NPPES Registry Identity

NPI1639437510

Entity TypeIndividualFemale

Primary Taxonomy208M00000X

Provider Legal NameNOMSA MUSEMWACredential: M.D

Location Address1000 MEDICAL CENTER BLVDLawrenceville, GA 30046-7694

Mailing Address1000 Medical Center BlvdLawrenceville, GA 30046-7694 · (678) 312-3294 · Fax (678) 312-3282

Phone(678) 312-3294

Fax(678) 312-3282

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateApril 27, 2012

Last NPPES UpdateMarch 5, 20232 updates tracked since enumeration

NPPES CertifiedMarch 5, 2023

✔ NPI 1639437510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in GA · 78955

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal Medicine · NephrologyTaxonomy 207RN0300X · License 78955 (GA)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1000 MEDICAL CENTER BLVD, Lawrenceville, GA 30046

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Secondary Practice Location 1

Location 14802 10th Avenue, Maimonides Medical CenterBrooklyn, NY 11219 · Phone (718) 283-6000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama 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

Nomsa Musemwa 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 ID2961762257

PECOS Enrollment IDI20180206001114

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 2

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

45 services45 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

33 services33 patients

Hospital Affiliations CMS Care Compare

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

Northside Hospital Gwinnett

Acute Care Hospitals · Lawrenceville, GA

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110087

Location1000 Medical Center BoulevardLawrenceville, GA 30046 · Gwinnett County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30046 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

$130.64 typical visit price

range $56.84 – $172.43

Typical copayment $32.66 (range $14.21 – $43.10)

Most-billed visit code 99204

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

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.

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

100%236 patients5/55-star benchmark: 100%

Documentation of Current Medications in the Medical Record

Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.

99%495 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

DR. ROBERT E BLACK III MD

Anesthesiology