MUSA MUSA MIVANYI
NPI 1821612466
Pediatrics in Baltimore, MD
About Musa Musa Mivanyi NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MUSA MUSA MIVANYI (NPI 1821612466) is an individual pediatrics provider in Baltimore, Maryland, licensed in Maryland (D0097898) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Musa Musa Mivanyi is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Musa Mivanyi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Baltimore, MD 21215
- Reassigned Medicare billing, Maryland enrollment
- 20 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 21215 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Musa Mivanyi's NPI number?
The NPI number for Musa Mivanyi is 1821612466. It was assigned to this individual provider in the NPPES registry on May 29, 2020.
Where is Musa Mivanyi located?
Musa Mivanyi practices at 4340 Park Heights Ave, Baltimore, MD 21215. The listed phone number is (410) 542-8130.
What is Musa Mivanyi's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Musa Mivanyi enrolled in Medicare?
Yes. Musa Mivanyi is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Musa Mivanyi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Musa Mivanyi reassigns Medicare benefits to Park Heights Medical Clinic LLC (Baltimore, MD). The 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 Musa Mivanyi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Musa Mivanyi was last updated on December 18, 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.
# Musa Musa Mivanyi · NPI 1821612466
Pediatrics physician in Baltimore, Maryland. Individual provider, active in the CMS NPPES registry since May 29, 2020.
## Identity
- **NPI:** 1821612466 (Entity type: Individual)
- **Enumerated:** May 29, 2020
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** D0097898 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 4340 PARK HEIGHTS AVE, Baltimore, MD 21215-6725
- **Phone:** (410) 542-8130
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Park Heights Medical Clinic LLC (NPI 1639101462, Baltimore, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 18, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1821612466) · Data from the CMS NPPES public registry.