DR. TEDDY MWIMI MUISYO M.D.
NPI 1780024109
Pediatrics - Pediatric Critical Care Medicine in Saint Louis, MO
About Dr. Teddy Mwimi Muisyo M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. TEDDY MWIMI MUISYO M.D. (NPI 1780024109) is an individual pediatric critical care medicine provider in Saint Louis, Missouri, licensed in Texas (U2273) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, maintains a secondary practice location in Chicago, and is a graduate of Other (2008).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Teddy Mwimi Muisyo 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.
Medicare Billing Reassignments
3Medicare enrollment records show Teddy Muisyo reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Oklahoma City, OK 73104
- Reassigned Medicare billing, Oklahoma enrollment
- 1,795 clinicians in this Medicare group
Oklahoma City, OK 73104
- Reassigned Medicare billing, Oklahoma enrollment
- 845 clinicians in this Medicare group
Tyler, TX 75701
- Reassigned Medicare billing, Texas enrollment
- 5,299 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
SAINT LOUIS, MO 63110
SAINT LOUIS, MO 63110
SAINT LOUIS, MO 63110
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 Teddy Muisyo's NPI number?
The NPI number for Teddy Muisyo is 1780024109. It was assigned to this individual provider in the NPPES registry on June 29, 2013.
Where is Teddy Muisyo located?
Teddy Muisyo practices at 660 S Euclid Ave, Saint Louis, MO 63110. The listed phone number is (314) 286-2224.
What is Teddy Muisyo's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.
Is Teddy Muisyo enrolled in Medicare?
Yes. Teddy Muisyo 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.
Which organizations bill Medicare for Teddy Muisyo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Teddy Muisyo reassigns Medicare benefits to 3 organizations: Ou Health Partners, Inc (Oklahoma City, OK), Board Of Regents Of The University Of Oklahoma - Ou Physicians (Oklahoma City, OK) and The University Of Texas Southwestern Medical Center At Dallas (Tyler, TX). 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 Teddy Muisyo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Teddy Muisyo accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Teddy Muisyo 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.
When was this NPI record last updated?
The NPPES record for Teddy Muisyo was last updated on December 19, 2023. 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.
# Dr. Teddy Mwimi Muisyo, M.D. · NPI 1780024109
Pediatric Critical Care Medicine physician in Saint Louis, Missouri. Individual provider, active in the CMS NPPES registry since June 29, 2013.
## Identity
- **NPI:** 1780024109 (Entity type: Individual)
- **Enumerated:** June 29, 2013
- **Primary specialty:** Pediatrics - Pediatric Critical Care Medicine · taxonomy 2080P0203X
- **State license:** U2273 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 660 S EUCLID AVE, Saint Louis, MO 63110-1010
- **Phone:** (314) 286-2224
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Ou Health Partners, Inc (NPI 1528642642, Oklahoma City, OK); Board Of Regents Of The University Of Oklahoma - Ou Physicians (NPI 1801869250, Oklahoma City, OK); The University Of Texas Southwestern Medical Center At Dallas (NPI 1417099599, Tyler, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2008
## Record status
- **NPPES last updated:** December 19, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1780024109) · Data from the CMS NPPES public registry.