GENNADY MUSHLIN (M.D.) – Family Medicine Physician, NPI 1083688923

GENNADY MUSHLIN (M.D.) is a healthcare provider. based in Wichita falls, Texas. specializing in Family Medicine Physician. They hold the professional credentials M.D.. They hold a License No. 22575 (OK). The NPI Number for GENNADY MUSHLIN (M.D.) is 1083688923

Main info

Male
Name
GENNADY MUSHLIN (M.D.)
NPI
1083688923
Phone
(940) 691-9722
Address
4235 CANYON TRAILS DR
Enumeration Date
15 February 2006
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

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Provider Addresses for GENNADY MUSHLIN (M.D.)

  • 4235, Canyon Trails Drive, Wichita Falls, Wichita County, Texas, 76309, United States

    WICHITA FALLS, TX 763092705

    Phone: (940) 691-9722

    Type: Mailing

  • Sheppard Air Force Base Hospital, 149, G W Hart Street, Wichita Falls, Wichita County, Texas, 76311, United States

    82 MEDICAL GROUP

    SHEPPARD AFB, TX 763113477

    Phone: (940) 676-6855

    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: 2013-06-04

PECOS data refreshed: 2026-05-27

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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 76309)

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Reviews

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Frequently asked questions

What unique ID ties claims to GENNADY MUSHLIN (M.D.)?
NPI 1083688923 is assigned to GENNADY MUSHLIN (M.D.) under the national enumeration system.
Is GENNADY MUSHLIN (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does GENNADY MUSHLIN (M.D.) list a primary specialty?
If you are matching referrals, note Family Medicine Physician for GENNADY MUSHLIN (M.D.). Clinical services aligned with this taxonomy classification.
Does GENNADY MUSHLIN (M.D.) practice in Texas?
You will see Wichita Falls, Texas on file for GENNADY MUSHLIN (M.D.) alongside any extra practice locations.
How can I contact GENNADY MUSHLIN (M.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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