NPIMap

Individual provider Active NPI

Mustafa Ibrahim Musa, M.D.

  • Internal Medicine Physician
  • Beaumont, TX
National Provider Identifier
1033126164
Registry record updated Sep 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K8363 Issued in TX
Practice address
755 N 11TH St
Suite P-5200
Beaumont, TX 77702-1501
Phone
(409) 898-2994
Fax
(409) 899-5542
NPI assigned
Aug 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2014

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 K8363 TX Primary

Addresses

Primary practice location

755 N 11TH St
Suite P-5200
Beaumont, TX 77702-1501

Mailing address

755 N 11TH St
Suite P-5200
Beaumont, TX 77702-1501
Phone (409) 898-2994

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100920000988 TX Practitioner - Internal Medicine 0941333041 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beaumont Internal Medicine and Geriatric Assoc.Group PAC ID 9032195789, 17 clinicians

Practice addresses (Care Compare)

755 N 11TH St
Suite P5200
Beaumont, TX 77702-1522
Phone 4098982994105

Hospital & facility affiliations

  • Pulse Homecare LTD Home health agency, Beaumont, TX, CCN 457884
  • Accentcare Hospice & Palliative Care of Texas Hospice, Beaumont, TX, CCN 671560
  • Three Oaks Hospice Hospice, Beaumont, TX, CCN 741681
  • Christus Southeast Texas- St Elizabeth Hospital, Beaumont, TX, CCN 450034
  • Baptist Beaumont Hospital Hospital, Beaumont, TX, CCN 450346

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions45
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K8363TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seasons Hospice & Palliative Care of Texas, Inc CurrentSince Oct 10, 2025 Accepting new patients
Elite Sleep Solutions Inc CurrentSince Aug 21, 2012 Accepting new patients
Seasons Medical Group of Texas, PLLC CurrentSince Oct 10, 2025 Accepting new patients
Winnie Community Hospital, LLC Past Accepting new patients
Ahmad Medical PC Internal Medicine PastSince Feb 1, 2000 Accepting new patients

Locations

17855 Dallas Pkwy
Ste 300A
Dallas, TX 75287
Phone (817) 887-0017

Interoperability endpoints

  • Direct secure messaging: mustafa.musa@bimga.eclinicaldirectplus.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Accentcare Hospice & Palliative Care of TexasBeaumont, TX, CCN 671560 Hospice Contracted Managing Employee Feb 18, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

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 5

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": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411344000000",
    "number": "1033126164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 N 11TH ST",
            "address_2": "SUITE P-5200",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021501",
            "telephone_number": "409-898-2994",
            "fax_number": "409-899-5542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 N 11TH ST",
            "address_2": "SUITE P-5200",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021501",
            "telephone_number": "409-898-2994",
            "fax_number": "409-899-5542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSA",
        "first_name": "MUSTAFA",
        "middle_name": "IBRAHIM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2014-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K8363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

Verify at the official NPI Registry.