Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Mutaz Musa, MD

Individual provider Emergency Medicine Physician · NPI 1720432115

Dr. Mutaz Musa, MD is an Emergency Medicine in Carbondale, Illinois. Qualified in 2013, 13 years ago. Works from 4 locations. Licensed in Illinois and Wisconsin.

Years since qualifying
13
Licensed in
IL, WI
In the registry since
2016
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

405 W Jackson St
Carbondale, IL 62901-1462
Phone: (618) 549-0721
Fax: (618) 457-0469
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 201 S 14th St, Herrin, IL 62948-3631 — (618) 942-2171
  • 2 S Hospital Dr, Murphysboro, IL 62966-3333 — (618) 684-3156
  • 2116 Craig Rd, Eau Claire, WI 54701-6118 — (715) 858-4610

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 036150055 (IL)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 84930 (WI)

Record details

NPI number1720432115
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 21, 2016
Last updated in NPPESApril 1, 2026
Certification dateApril 1, 2026
Mailing addressPo Box 3988, Carbondale, IL 62902-3988

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Not indicated
Practice locations4 on file with Medicare

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