DR. MICHAEL M MOUSSOUTTAS (MD) – Neurology Physician, NPI 1912907197

DR. MICHAEL M MOUSSOUTTAS (MD) is a healthcare provider. based in Meadville, Pennsylvania. specializing in NEUROLOGY. They hold the professional credentials MD. They hold a License No. MD432784 (PA). The NPI Number for DR. MICHAEL M MOUSSOUTTAS (MD) is 1912907197

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHAEL M MOUSSOUTTAS (MD)
NPI
1912907197
Phone
(814) 333-5000
Address
751 Liberty St
Enumeration Date
28 July 2005
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9724490540
Graduation Year
1994 (32 years ago)
PAC ID
4284623885
Group Practice PAC ID
7810204831
Professional Enrollment ID
I20250324003568
Address ID
VA201863027WA500XXDRXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience90
Completeness75
Years active:20State licenses:5Digital endpointsOther names

1,530 NEUROLOGY in PA

Provider Addresses for DR. MICHAEL M MOUSSOUTTAS (MD)

  • 751 Liberty St

    Meadville, PA 163352559

    Phone: (814) 333-5000

    Type: Location

  • 4755 OGLETOWN STANTON RD STE 2E99

    NEWARK, DE 197182559

    Phone: (302) 733-5982

    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: 2025-11-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 12 Medicare enrollment records; no due dates published yet.

Enrollment records

12

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
I20040716000911INeurologyNJTBD
I20071119000178INeurologyPATBD
I20250116002706INeurologyRITBD
I20250121001081INeurologyNHTBD
I20250121001330INeurologyVTTBD
I20250122003476INeurologyMETBD
I20250219003790INeurologyFLTBD
I20250224003501INeurologyMATBD
I20250324003177INeurologyOHTBD
I20250324003568INeurologyVATBD
I20250401003221INeurologyNMTBD
I20251110002396INeurologyMITBD

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.

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

Insurance plans in this area (ZIP 16335)

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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: 7810204831View full group profile
NameSpecialtyState
Nurse PractitionerTN
Infectious Disease, Internal MedicinePA
P S Y C H I A T R YCA
N E U R O L O G YTX
Internal Medicine, NephrologyWI
Internal MedicineTX
-NY
-SC
Hospitalist, Internal Medicine, Pulmonary DiseaseSC
Internal Medicine, HospitalistNE

Reviews

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Frequently asked questions

Does DR. MICHAEL M MOUSSOUTTAS (MD) have a public NPI I can cite?
Public records show DR. MICHAEL M MOUSSOUTTAS (MD) under NPI 1912907197.
Is DR. MICHAEL M MOUSSOUTTAS (MD) currently accepting referrals based on NPI status?
Registry metadata lists DR. MICHAEL M MOUSSOUTTAS (MD) as active.
What does the directory say DR. MICHAEL M MOUSSOUTTAS (MD) does?
Insurance directories may phrase it differently, but here DR. MICHAEL M MOUSSOUTTAS (MD) maps to Neurology Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. MICHAEL M MOUSSOUTTAS (MD)?
DR. MICHAEL M MOUSSOUTTAS (MD) is associated with Meadville, Pennsylvania in the same public data insurers reference.
Can I export DR. MICHAEL M MOUSSOUTTAS (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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