Individual provider Active NPI

Abdul Azim Mustapha, M.D.

  • Orthopaedic Hand Surgery Physician
  • Toledo, OH
National Provider Identifier
1063409324
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
35078530 Issued in OH
Practice address
1125 Hospital Dr FL 1
Toledo, OH 43614-8001
Phone
(419) 383-3761
Fax
(419) 383-2932
NPI assigned
Oct 3, 2005
Last updated
Jan 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 35078530 OH
Orthopaedic Hand Surgery Physician 207XS0106X 35078530 OH Primary

Addresses

Primary practice location

1125 Hospital Dr FL 1
Toledo, OH 43614-8001

Mailing address

3000 Arlington Ave Stop 1108
Toledo, OH 43614-2595

Other identifiers 1

IdentifierTypeStateIssuer
2210584MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MI, MO, SD4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20040121000962 OH Practitioner - Orthopedic Surgery 8820990864 Reassigns benefits to 4 organizations
I20161007000203 MI Practitioner - Orthopedic SurgeryPractitioner - Other (Physician) 8820990864 Reassigns benefits to 2 organizations
I20161121000665 MO Practitioner - Orthopedic Surgery 8820990864 Reassigns benefits to 1 organization
I20210106001555 SD Practitioner - Hand SurgeryPractitioner - Orthopedic Surgery 8820990864 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3355 Glendale Ave
Toledo, OH 43614-2426
Phone (419) 383-5614

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35078530OHMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jawad a Shah MD PC CurrentSince Oct 4, 2016 Accepting new patients
Promedica Central Physicians CurrentSince Apr 1, 2016 Accepting new patients
Medical University of Ohio at Toledo Current Accepting new patients
University of Toledo Physicians LLC Orthopaedic Surgery CurrentSince Dec 1, 2003 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Oct 13, 2016 Accepting new patients
Hillsdale Community Health Center Orthopaedic Surgery CurrentSince Jul 1, 2019 Accepting new patients
Avera McKennan Current Accepting new patients
Mercy Medical Partners Northern Region Specialty Care LLC Orthopaedic Surgery CurrentSince Sep 1, 2021 Accepting new patients
Promedica Central Physicians Orthopaedic Surgery CurrentSince Apr 1, 2016 Accepting new patients
Avera McKennan CurrentSince Nov 25, 2020 Accepting new patients
Jawad a Shah, MD PC CurrentSince Oct 4, 2016 Accepting new patients
Avera McKennan CurrentSince Nov 25, 2020 Accepting new patients
Mercy Medical Partners Northern Region Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Fauster Cameron Inc. Past Accepting new patients

Locations

4800 S Saginaw St
Ste 1800
Flint, MI 48507
Phone (810) 732-8336

4800 S Saginaw St
Ste 1805
Flint, MI 48507
Phone (810) 275-9108

4800 S Saginaw St
Ste 1815
Flint, MI 48507
Phone (810) 275-9152

168 S Howell St
Hillsdale, MI 49242
Phone (517) 437-4451

61 W Carleton Rd
Hillsdale, MI 49242
Phone (517) 437-5020

21230 Dequindre Rd
Warren, MI 48091
Phone (586) 427-1000

L4189
Columbus, OH 43260

1400 E 2nd St
Defiance, OH 43512
Phone (419) 784-1414

1250 Ralston Ave
Ste 302
Defiance, OH 43512

1252 Ralston Ave
Ste 302
Defiance, OH 43512
Phone (419) 783-6996

650 Beaver Creek Cir
Ste 130
Maumee, OH 43537
Phone (419) 891-6210

1600 E Riverview Ave
Ste 101
Napoleon, OH 43545
Phone (419) 592-8774

1125 Hospital Dr
Fl 1
Toledo, OH 43614
Phone (419) 383-3761

3355 Glendale Ave
Fl 3
Toledo, OH 43614
Phone (419) 383-7100

3000 Arlington Ave
Stop 1108
Toledo, OH 43614

2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112

3355 Glendale Ave
Fl Third
Toledo, OH 43614

3000 Arlington Ave
Toledo, OH 43614
Phone (419) 383-3556

1125 Hospital Dr
Toledo, OH 43614
Phone (419) 383-3761

3065 Arlington Ave
Toledo, OH 43614
Phone (419) 383-3818

3355 Glendale Ave
Toledo, OH 43614
Phone (419) 383-5614

Interoperability endpoints

  • Direct secure messaging: amustapha25867@direct.utoledo.edu

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 4

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": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1063409324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 ARLINGTON AVE STOP 1108",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436142595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 HOSPITAL DR FL 1",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436148001",
            "telephone_number": "419-383-3761",
            "fax_number": "419-383-2932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSTAPHA",
        "first_name": "ABDUL AZIM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-03",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OH",
            "license": "35078530",
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "OH",
            "license": "35078530",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2210584",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.