MUSA MODAD (MD) – Internal Medicine Physician, NPI 1902917834

Internal Medicine Physician

MUSA MODAD (MD) is a healthcare provider. based in Moscow, Idaho. specializing in Internal Medicine Physician. They hold the professional credentials MD. They hold a License No. 103780 (MO). The NPI Number for MUSA MODAD (MD) is 1902917834

Main info

Male

49 Years Of Experience

Accepts Medicare Assignment

Name

MUSA MODAD (MD)

NPI

1902917834

Phone

(208) 882-4511

Address

700 S Main St

Enumeration Date

31 August 2006

Last Update Date

21 July 2022

Doctor Profile

Medical School Name

OTHER

Secondary Phone

2088836700

Graduation Year

1977 (49 years ago)

PAC ID

9739273541

Group Practice PAC ID

4981984390

Professional Enrollment ID

I20150707002767

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience66

Completeness75

Years active:19State licenses:2Digital endpointsOther names

Provider Addresses for MUSA MODAD (MD)

700 S Main St
Moscow, ID 838433056
Phone: (208) 882-4511
Type: Location
Gritman Medical Center, 700, South Main Street, Moscow, Latah County, Idaho, 83843, United States
MOSCOW, ID 838433046
Phone: (208) 882-4511
Type: Mailing
Latah Community Health, 719, South Main Street, Moscow, Latah County, Idaho, 83843, United States
MOSCOW, ID 838433041
Phone: (208) 883-1152
Fax: (208) 882-1486
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 83843)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 4981984390View full group profile

Name	Specialty	State
LEO Y CHOUGH (MD)	Orthopedic Surgery	WA
GREGORY BAUER (CRNA)	Certified Registered Nurse Anesthetist (Crna)	ID
DR. CHRISTOPHER J BULLARD (MD)	Internal Medicine	ID
DR. MARVIN RENELL KYM (MD)	Orthopedic Surgery	ID
DR. ADAM JAMES KAPPMEYER (MD)	Internal Medicine	NY
FAWNA SUNSHINE HUFFMAN (NP-C)	Nurse Practitioner	ID
DR. DEBORAH J. MAURO (CRNA)	-	WA
BRYAN DAVID SMITH (MD)	U R O L O G Y	WA
DUSTIN PAUL GILL	Certified Registered Nurse Anesthetist (Crna)	ID
MR. ANDREW J SCHUG (PAC)	Physician Assistant	ID