DR. SARA M MOUSA (DO) – Family Medicine Physician, NPI 1184152118

DR. SARA M MOUSA (DO) is a healthcare provider. based in Grand blanc, Michigan. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. 5101023027 (MI). The NPI Number for DR. SARA M MOUSA (DO) is 1184152118

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
DR. SARA M MOUSA (DO)
NPI
1184152118
Phone
(810) 606-5000
Address
1 Genesys Pkwy
Enumeration Date
4 June 2017
Last Update Date
17 April 2023

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
7085241674
Graduation Year
2017 (9 years ago)
PAC ID
5395016463
Group Practice PAC ID
7719148378
Professional Enrollment ID
I20230516002483
Address ID
IL603041095OA610XXAVEX403
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:9State licenses:2Digital endpointsOther names

4,418 FAMILY PRACTICE in MI

Provider Addresses for DR. SARA M MOUSA (DO)

  • 1 Genesys Pkwy

    Grand Blanc, MI 484398065

    Phone: (810) 606-5000

    Type: Location

  • 610 S MAPLE AVE STE 3900

    OAK PARK, IL 603041095

    Phone: (708) 524-1674

    Type: Mailing

  • 1152, Bryant Drive, Shaw Estates, East Lansing, Ingham County, Michigan, 48823, United States

    EAST LANSING, MI 488232442

    Phone: (517) 980-5925

    Type: Mailing

  • Genesys Regional Medical Center, 1, Genesys Parkway, Genesee County, Michigan, 48439, United States

    GRAND BLANC, MI 484398065

    Phone: (810) 606-5000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-05-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230516002483IFamily PracticeILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes139121$0
99213Established patient office or other outpatient visit, 20-29 minutes3735$0
99215Established patient office or other outpatient visit, 40-54 minutes3433$0
99204New patient office or other outpatient visit, 45-59 minutes2727$0
G0008Administration of influenza virus vaccine2121$0
View full utilization report →

Insurance plans in this area (ZIP 48439)

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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: 7719148378View full group profile
NameSpecialtyState
Nurse PractitionerIL
Nurse PractitionerIL
Family PracticeIL
Nurse PractitionerIL
Family PracticeIL

Reviews

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Frequently asked questions

Where can patients find DR. SARA M MOUSA (DO)'s NPI?
You can confirm DR. SARA M MOUSA (DO) with NPI 1184152118; it appears in the national provider directory.
Does this profile mean DR. SARA M MOUSA (DO) is currently active?
Yes — DR. SARA M MOUSA (DO) appears active in the national provider directory.
What does DR. SARA M MOUSA (DO) treat or focus on?
Patients typically see DR. SARA M MOUSA (DO) under the specialty Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where does public data place DR. SARA M MOUSA (DO)?
The snapshot lists Grand Blanc, Michigan for DR. SARA M MOUSA (DO); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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