Individual provider Active NPI

Fatin Mustafa

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1033068598
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1135618 Issued in TX
Practice address
4615 Southwest Fwy Ste 900
Houston, TX 77027-7191
Phone
(346) 250-5650
NPI assigned
Jan 27, 2026
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1135618 TX Primary

Addresses

Primary practice location

4615 Southwest Fwy Ste 900
Houston, TX 77027-7191

Mailing address

PO Box 57845
Webster, TX 77598-7845

Other practice location 1

500 N Kobayashi Ste F
Webster, TX 77598-4722
Phone (281) 816-3092

Other practice location 2

4615 Southwest Fwy Ste 1000
Houston, TX 77027-7108
Phone (281) 407-6943

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260429004199 TX Practitioner - Nurse Practitioner 4385111012 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

500 N Kobayashi
Suite a
Webster, TX 77598-4722

500 N Kobayashi a
Webster, TX 77598-4722

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1135618TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clear Lake Primary Care PLLC CurrentSince Mar 5, 2023 Accepting new patients
CLS Health PLLC CurrentSince Jul 23, 2026 Accepting new patients

Locations

4615 Southwest Fwy
Ste 1000
Houston, TX 77027
Phone (281) 407-6943

4615 Southwest Fwy
Ste 900
Houston, TX 77027
Phone (346) 209-3001

500 N Kobayashi
Ste F
Webster, TX 77598
Phone (281) 816-3092

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CFFDBA

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.

NPI Registry JSON

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

{
    "created_epoch": "1769472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1033068598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 57845",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775987845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4615 SOUTHWEST FWY STE 900",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770277191",
            "telephone_number": "346-250-5650"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 N Kobayashi Ste F",
            "address_purpose": "LOCATION",
            "city": "Webster",
            "state": "TX",
            "postal_code": "775984722",
            "country_code": "US",
            "telephone_number": "281-816-3092",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4615 Southwest Fwy Ste 1000",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770277108",
            "country_code": "US",
            "telephone_number": "281-407-6943",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUSTAFA",
        "first_name": "FATIN",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2026-01-27",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1135618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.