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

Simukayi Mutasa, MD

Individual provider Diagnostic Radiology Physician · NPI 1932595923

Simukayi Mutasa, MD is a Diagnostic Radiology in New York, New York. Graduated from University of Texas Medical Branch at Galveston in 2015, 11 years ago. Practices with Radiology Associates of South Carolina LLC, a 107-clinician group and accepts Medicare assignment. Licensed in New York, Pennsylvania and Texas.

Years since qualifying
11
Trained at
University of Texas Medical Branch at Galveston
Licensed in
NY, PA, TX
In the registry since
2015
Specialties on file
3
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

622 W 168th St PB-1-301
New York, NY 10032-3720
Phone: (212) 305-4928
Fax: (212) 305-8177
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence MD469950 (PA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence BP10054934 (TX)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 289620 (NY)

Record details

NPI number1932595923
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 7, 2015
Last updated in NPPESNovember 14, 2024
Certification dateNovember 14, 2024

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduated 2015 (11 years in practice)
Group practice Radiology Associates Of South Carolina Llc — 107 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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