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MUSA MODAD MD
NPI 1902917834
Internal Medicine in Moscow, ID

Active since August 31, 2006
719 S MAIN ST, MOSCOW, ID 83843(208) 883-1152(208) 882-1486 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Apr 16, 2019, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Musa Modad Md NPPES

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

MUSA MODAD MD (NPI 1902917834) is an individual internal medicine provider in Moscow, Idaho, licensed in Idaho (M-12814) and active in the NPI registry since August 2006. He maintains a secondary practice location in Moscow.

NPPES Registry Identity

NPI1902917834
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMUSA MODADCredential: MD
Location Address719 S MAIN STMoscow, ID 83843-3041
Mailing Address700 S Main StMoscow, ID 83843-3046 · (208) 882-4511
Phone(208) 883-1152
Fax(208) 882-1486
Sole ProprietorNo
Enumeration DateAugust 31, 2006
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
✔ NPI 1902917834 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in ID · M-12814✔ Licensed in MO · 103780
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.

Also ListedEmergency MedicineTaxonomy 207P00000X · License 103780 (MO)
719 S MAIN ST, Moscow, ID 83843
Open in Google Maps ↗

Secondary Practice Location 1

Location 1700 S Main StMoscow, ID 83843-3056 · Phone (208) 882-4511

Other Identifiers 5

OtherP00430675Railroad Medicare
Medicaid206687410MO
OtherM-12814ID · Idaho License
Medicaid1902917834MO
Other1235680703ID · Npi # For Internal Medicine Clinic

Other Providers at the Same Location NPPES 4

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

DR. CHRISTOPHER J BULLARD MD
Internal Medicine
719 S MAIN ST
MOSCOW, ID 83843
Latah County (208) 883-1152
DR. ADAM JAMES KAPPMEYER MD
Internal Medicine
719 S MAIN ST
MOSCOW, ID 83843
Latah County (208) 883-1152
DR. SHELLEY LYNN CHAMBERS FOX PHD
Pharmacist
719 S MAIN ST
MOSCOW, ID 83843
Latah County (208) 848-8300
LYNLEY R JAMES NP-C
Nurse Practitioner (Family)
719 S MAIN ST
MOSCOW, ID 83843
Latah County (208) 883-1152

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 Modad's NPI number?

The NPI number for Musa Modad is 1902917834. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Musa Modad located?

Musa Modad practices at 719 S Main St, Moscow, ID 83843. The listed phone number is (208) 883-1152.

What is Musa Modad's specialty?

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

When was this NPI record last updated?

The NPPES record for Musa Modad was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.