Individual provider Active NPI

Jawdat Mustafa, MD

  • Internal Medicine Physician
  • Niagara Falls, NY
National Provider Identifier
1023638467
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
329515 Issued in NY
Practice address
6934 Williams Rd Ste 500
Niagara Falls, NY 14304-3084
Phone
(716) 297-8260
NPI assigned
Apr 24, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 329515 NY Primary

Addresses

Primary practice location

6934 Williams Rd Ste 500
Niagara Falls, NY 14304-3084

Mailing address

6934 Williams Rd Ste 500
Niagara Falls, NY 14304-3084
Phone (716) 297-8260

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240918000359 NY Practitioner - Internal MedicinePractitioner - Preventive Medicine 4486195476 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Preventive Medicine
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

621 10TH St
Niagara Falls, NY 14301-1813
Phone (716) 278-4000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Niagara Falls Memorial Medical Center CurrentSince Sep 1, 2024 Accepting new patients
Niagara Falls Memorial Medical Center Internal Medicine CurrentSince Sep 1, 2024 Accepting new patients

Locations

6934 Williams Rd
Ste 200
Niagara Falls, NY 14304
Phone (716) 297-8260

6934 Williams Rd
Niagara Falls, NY 14304
Phone (716) 298-5800

6934 Williams Rd
Ste 500
Niagara Falls, NY 14304
Phone (716) 297-7898

621 10th St
North Falls, NY 14301
Phone (716) 278-4000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FFBIBA/Endpoint/FFBIBA
  • FHIR API: https://fhir-myrecord.cerner.com/r4/3c975af8-28ae-4d97-adec-66228015b5a8/

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1587686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1023638467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6934 WILLIAMS RD STE 500",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143043084",
            "telephone_number": "716-297-8260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6934 WILLIAMS RD STE 500",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143043084",
            "telephone_number": "716-297-8260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSTAFA",
        "first_name": "JAWDAT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-24",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "329515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niagara Falls, NY

Sources for this page

Verify at the official NPI Registry.