SHAZA MOUSSA MD
NPI 1699331603
Internal Medicine in Jacksonville, TX

Q: What is Shaza Moussa's NPI number?

The NPI number for Shaza Moussa is 1699331603. It was assigned to this individual provider in the NPPES registry on May 15, 2019.

Q: What is Shaza Moussa's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shaza Moussa was last updated on July 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 May 15, 2019PECOS Enrolled

203 NACOGDOCHES ST STE 280, JACKSONVILLE, TX 75766(903) 541-5380 Get Directions Write a Review

NPPES record last updated: July 10, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 10, 2024, Sep 15, 2022, May 15, 2019 (3 updates tracked since 2019).

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About Shaza Moussa Md NPPES

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

SHAZA MOUSSA MD (NPI 1699331603) is an individual internal medicine provider in Jacksonville, Texas, licensed in Texas (T6653) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699331603

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameSHAZA MOUSSACredential: MD

Location Address203 NACOGDOCHES ST STE 280Jacksonville, TX 75766-2444

Mailing Address203 Nacogdoches St Ste 280Jacksonville, TX 75766-2444 · (903) 541-5380

Phone(903) 541-5380

Sole ProprietorNo

Enumeration DateMay 15, 2019

Last NPPES UpdateJuly 10, 20243 updates tracked since enumeration

NPPES CertifiedJuly 10, 2024

✔ NPI 1699331603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in TX · T6653

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.

203 NACOGDOCHES ST STE 280, Jacksonville, TX 75766

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shaza Moussa Md 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.

Medicare Billing Reassignments

Medicare enrollment records show Shaza Moussa reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Special Health Resources For Texas, Incorporated

0.7 mi

Federally Qualified Health Center (FQHC)

1011 COLLEGE STREET
Jacksonville, TX 75766

Reassigned Medicare billing, Texas enrollment
22 clinicians in this Medicare group

NPI 1518469527 (903) 541-2571

Etmc Physician Group Inc.

26 mi

Cardiovascular Disease

1000 S BECKHAM AVE
Tyler, TX 75701

Reassigned Medicare billing, Texas enrollment
636 clinicians in this Medicare group

NPI 1609382662 (903) 590-5611

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75766 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

$126.40 typical visit price

range $54.84 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KENYA SEKONI ETIM M.D.

Family Medicine (Adult Medicine)