NPI age
19 years
Enumerated 2006-08-31
● Active
Type 1 · Individual
Musa Modad, MD
Modad is 1 of 11 internal medicine providers in Moscow and 1 of 504 in Idaho.
Primary specialty
Internal Medicine
Plus 2 subspecialties
Licensed in
ID, MO
2 states
Status
Active
No deactivations on record
Last NPPES update
2022-07-21
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 504 active internal medicine providers in Idaho.
NPI age
19 years
↑ 3 yr above median (16 yr)
State licenses
2 states
Top 76% — 23% of peers are multi-state
Subspecialties
1
In the 44% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-08Enumerated in NPPES
2006
2026
Where they practice
Practice location
719 S Main St
Moscow, ID 838433041
Mailing address
700 S Main St
Moscow, ID 838433046
Additional practice locations
1 secondary location on file with NPPES.
Location 2
700 S Main St
Moscow, ID 838433056
Specialties
-
Internal Medicine PrimaryA 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,...
-
Emergency MedicineAn emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department....
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (MO) | 206687410 | |
| 01 | P00430675 | RAILROAD MEDICARE |
| 01 (ID) | 1235680703 | NPI # FOR INTERNAL MEDICINE CLINIC |
| 05 (MO) | 1902917834 | |
| 01 (ID) | M-12814 | IDAHO LICENSE |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.