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DR. MUTAZ MUSA M.D.
NPI 1720432115
Emergency Medicine in Carbondale, IL

Active since April 21, 2016PECOS Enrolled
405 W JACKSON ST, CARBONDALE, IL 62901(618) 549-0721(618) 457-0469 Get Directions Write a Review

NPPES record last updated: April 1, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 1, 2026, Sep 27, 2021, Feb 9, 2021 and 1 more (4 updates tracked since 2019).

About Dr. Mutaz Musa M.d. NPPES

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

DR. MUTAZ MUSA M.D. (NPI 1720432115) is an individual emergency medicine provider in Carbondale, Illinois, licensed in Illinois (036150055) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Manatee Memorial Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1720432115
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. MUTAZ MUSACredential: M.D.
Location Address405 W JACKSON STCarbondale, IL 62901-1462
Mailing AddressPo Box 3988Carbondale, IL 62902-3988 · (618) 457-5200
Phone(618) 549-0721
Fax(618) 457-0469
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateApril 21, 2016
Last NPPES UpdateApril 1, 20264 updates tracked since enumeration
NPPES CertifiedApril 1, 2026
✔ NPI 1720432115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in IL · 036150055✔ Licensed in WI · 84930
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
405 W JACKSON ST, Carbondale, IL 62901
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Secondary Practice Locations 3

Location 12 S Hospital DrMurphysboro, IL 62966-3333 · Phone (618) 684-3156 · Fax (618) 529-0524
Location 2201 S 14th StHerrin, IL 62948-3631 · Phone (618) 942-2171 · Fax (618) 351-4917
Location 32116 Craig RdEau Claire, WI 54701-6118 · Phone (715) 858-4610

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mutaz Musa M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8527396795
PECOS Enrollment IDI20260417003417
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

9

Medicare enrollment records show Mutaz Musa reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Beaver Dam Community Hosptials Inc
388 mi
Family Medicine
1580 W JAMES ST
Columbus, WI 53925
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Beaver Dam Community Hospitals Inc.
  • 1,447 clinicians in this Medicare group
NPI 1275833659 (920) 350-0235
Mchs Hospitals Inc
460 mi
Clinic/Center
440 24TH ST S
Wisconsin Rapids, WI 54494
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1952890873 (Wisconsin)
  • 2,476 clinicians in this Medicare group
NPI 1568188589 (715) 751-6200
Memorial Hospital Inc
477 mi
Clinic/Center
N3708 RIVER AVE
Neillsville, WI 54456
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1346239373 (Wisconsin)
  • 1,440 clinicians in this Medicare group
NPI 1033701800 (715) 743-3101
Marshfield Clinic Inc
481 mi
Clinic/Center
1000 N OAK AVE
Marshfield, WI 54449
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,540 clinicians in this Medicare group
NPI 1952347981 (715) 387-5511
Aspirus Medford Hospital & Clinics, Inc.
506 mi
Rural Health
729 PINE ST
Athens, WI 54411
  • Reassigned Medicare billing, Wisconsin enrollment
  • 376 clinicians in this Medicare group
NPI 1760912919 (715) 748-8100
Lakeview Medical Center Inc Of Rice Lake
539 mi
Clinic/Center
806 2ND ST
Chetek, WI 54728
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,616 clinicians in this Medicare group
NPI 1659008605 (715) 924-2000
Flambeau Hospital Inc
570 mi
Clinic/Center
98 SHERRY AVE
Park Falls, WI 54552
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1700963048 (Wisconsin)
  • 1,351 clinicians in this Medicare group
NPI 1194317966 (715) 762-2484
Paragon Emergency Services LLC
796 mi
Emergency Medicine
200 AVENUE F NE
Winter Haven, FL 33881
  • Reassigned Medicare billing, Florida enrollment
  • 1,065 clinicians in this Medicare group
NPI 1912101650 (863) 293-1121
Em Alliance LLC
927 mi
Emergency Medicine
10101 FOREST HILL BLVD
Wellington, FL 33414
  • Reassigned Medicare billing, Florida enrollment
  • 138 clinicians in this Medicare group
NPI 1922788959 (561) 203-0611

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

Hospital Affiliations CMS Care Compare 2

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

Manatee Memorial Hospital

Acute Care Hospitals · Bradenton, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100035
Location206 2nd St EBradenton, FL 34208 · Manatee County
Emergency services Birthing friendly

Marshfield Medical Center - Eau Claire

Acute Care Hospitals · Eau Claire, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520210
Location2310 Craig RdEau Claire, WI 54701 · Eau Claire County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62901 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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 20

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

MR. LUKAS WARD PA
Physician Assistant
405 W JACKSON ST
CARBONDALE, IL 62901
Jackson County (618) 549-0721
RUPAL PARMAR M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
405 W JACKSON ST
CARBONDALE, IL 62901
Jackson County (618) 549-0721
SCOTT A. COOPER M.D.
Emergency Medicine
405 W JACKSON ST, MEMORIAL HOSPITAL
CARBONDALE, IL 62901
Jackson County (618) 549-0721
LONG HA HUYNH M.D., PH.D.
Anesthesiology
405 W JACKSON ST
CARBONDALE, IL 62901
Jackson County (618) 549-0721
MS. BRITNEY NICOLE ARNOLD PA-C
Physician Assistant
405 W JACKSON ST
CARBONDALE, IL 62901
Jackson County (618) 549-0721
MR. DAN EDWARD MILLER CRNA
Nurse Anesthetist, Certified Registered
405 W JACKSON ST
CARBONDALE, IL 62901
Jackson County (618) 549-0721
KARA KUHLMAN
Pharmacist
405 W JACKSON ST
CARBONDALE, IL 62901
Jackson County (618) 549-0721
AMANDA M RYDEN MD
Emergency Medicine
405 W JACKSON ST
CARBONDALE, IL 62901
Jackson County (618) 549-0721

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 Mutaz Musa's NPI number?

The NPI number for Mutaz Musa is 1720432115. It was assigned to this individual provider in the NPPES registry on April 21, 2016.

Where is Mutaz Musa located?

Mutaz Musa practices at 405 W Jackson St, Carbondale, IL 62901. The listed phone number is (618) 549-0721.

What is Mutaz Musa's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Mutaz Musa enrolled in Medicare?

Yes. Mutaz Musa is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mutaz Musa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mutaz Musa reassigns Medicare benefits to 9 organizations: Beaver Dam Community Hosptials Inc (Columbus, WI), Mchs Hospitals Inc (Wisconsin Rapids, WI), Memorial Hospital Inc (Neillsville, WI), Marshfield Clinic Inc (Marshfield, WI), Aspirus Medford Hospital & Clinics, Inc. (Athens, WI) and 4 more organizations, listed in the Medicare section above. 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 Mutaz Musa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Mutaz Musa affiliated with any hospitals?

According to CMS data, Mutaz Musa is affiliated with Manatee Memorial Hospital and Marshfield Medical Center - Eau Claire.

When was this NPI record last updated?

The NPPES record for Mutaz Musa was last updated on April 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.