Active NPI
Mustafa Aly, MD
- Internal Medicine Physician
- Lubbock, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- Q7829
- Practice address
- 3615 19TH St
Lubbock, TX 79410-1203 - Phone
- (806) 725-4130
- NPI assigned
- Aug 5, 2011
- Last updated
- Mar 17, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | Q7829 | TX | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | Q7829 | TX | Primary |
Addresses
Primary practice location
3615 19TH St
Lubbock, TX 79410-1203
Mailing address
5410 Maryland Way Ste 300
Brentwood, TN 37027-5339
Phone (615) 377-5592
Other practice location 1
3601 4th St
Ms 9410
Lubbock, TX 79430-9410
Phone (806) 743-3155 ext. 237
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
18951 N Memorial Dr
Humble, TX 77338-4217
Phone (281) 319-8409
2600 Saint Michael Dr
Texarkana, TX 75503-5220
Phone (903) 614-5110
3615 19TH St
Lubbock, TX 79410-1203
Phone (806) 725-0000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| Q7829 | TX | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Kidney Care Center, LLC | Current | Accepting new patients | |
| Lubbock Kidney & Blood Pressure Clinic P a | Nephrology | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Texas, PLLC | Internal Medicine | Current | Accepting new patients |
| Sound Inpatient Physicians of Texas I, Inc | Internal Medicine | Current | Accepting new patients |
| Sound Inpatient Physicians of Texas I, Inc | Internal Medicine | Current | Accepting new patients |
| Sound Inpatient Physicians of Texas I, Inc | Internal Medicine | Current | Accepting new patients |
| Cogent Healthcare of Texas, PA | Internal Medicine | Current | Accepting new patients |
| Texas Tech University Health Sciences Center Lubbock | Past | Accepting new patients | |
| Covenant Medical Group | Internal Medicine | Past | Accepting new patients |
| Sound Inpatient Physicians of Texas I, Inc | Internal Medicine | Past | Accepting new patients |
| Covenant Medical Center | Past | Accepting new patients |
Locations
5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674
7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000
18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409
1126 Slide Rd
Unit 4B
Lubbock, TX 79416
Phone (806) 793-8447
3615 19th St
Lubbock, TX 79410
Phone (806) 725-0000
17500 W Grand Pkwy S
Sugar Land, TX 77479
Phone (281) 725-5000
2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000
Interoperability endpoints
- mustafaghaleb.aly@direct.myteamcare.com
Organizations & group practices 11
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Humble, TX
- NPI 1629307095
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1992722953
-
- Nephrology Physician
- Lubbock, TX
- NPI 1316958663
-
- Family Medicine Physician
- Sugar Land, TX
- NPI 1831424563
Internal Medicine
-
- Hospitalist Physician
- San Antonio, TX
- NPI 1811321797
Internal Medicine
-
- Hospitalist Physician
- Tacoma, WA
- NPI 1629403761
Internal Medicine
-
dba The Kidney Care Center - Hobbs
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Hobbs, NM
- NPI 1043610819
-
- General Acute Care Hospital
- Lubbock, TX
- NPI 1972517365
-
- Hospitalist Physician
- Beaumont, TX
- NPI 1457643223
Internal Medicine
-
dba TTUHSC - Anesthesiology
- Anesthesiology Physician
- Lubbock, TX
- NPI 1306894175
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lubbock, TX
- NPI 1972517365
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1003195256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5410 MARYLAND WAY STE 300",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370275339",
"telephone_number": "615-377-5592",
"fax_number": "440-922-0145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3615 19TH ST",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794101203",
"telephone_number": "806-725-4130"
}
],
"practiceLocations": [
{
"address_1": "3601 4th St",
"address_2": "MS 9410",
"address_purpose": "LOCATION",
"city": "Lubbock",
"state": "TX",
"postal_code": "794309410",
"country_code": "US",
"telephone_number": "806-743-3155 x237",
"fax_number": "806-743-3143",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALY",
"first_name": "MUSTAFA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-08-05",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "TX",
"license": "Q7829",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "Q7829",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.