Mustafa Al-Sabbagh, M.D.
Individual provider Active NPI Diagnostic Radiology Physician · Columbia, MO
NPI 1063753291 · NPPES record last updated Aug 16, 2022
Key facts
- NPI
- 1063753291
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- 2017034849 (MO)
- Practice address
- 1 Hospital Dr
Columbia, MO 65212-0001 - Phone
- (573) 882-1026
- Fax
- (573) 884-4487
- NPI assigned
- Mar 13, 2013
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Diagnostic Radiology
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Saint Lukes Physician Group Inc
Practice addresses (Care Compare)
12300 Metcalf Ave
Overland Park, KS 66213-1324
Phone (913) 317-7000
12330 Metcalf Ave
Suite 420
Overland Park, KS 66213-1307
Phone (913) 323-9000
Hospital & facility affiliations
- Saint Luke'S East Hospital
- St Lukes Hospital of Kansas City
- Saint Luke'S South Hospital
- Saint Lukes North Hospital
- University of Kansas Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.56 of 100
- Quality
- 76.07
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 65.79
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MO, KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180711001138 | MO | Practitioner - Diagnostic Radiology | 6608148796 | Reassigns benefits to 2 organizations |
| I20210415001782 | KS | Practitioner - Diagnostic Radiology | 6608148796 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Luke'S Physician Group Inc | Diagnostic Radiology | Current |
Accepting new patients |
| Saint Luke'S Physician Group Inc | Current |
Accepting new patients | |
| Saint Lukes Physician Group Inc | Current |
Accepting new patients | |
| Saint Luke'S Neighborhood Clinics, LLC | Diagnostic Radiology | Current |
Accepting new patients |
Locations
421 S Maple St
Garnett, KS 66032
Phone (785) 204-7105
711 Marshall St
Leavenworth, KS 66048
Phone (913) 684-1100
12330 Metcalf Ave
Ste 420
Overland Park, KS 66213
Phone (913) 323-9000
12330 Metcalf Ave
Ste 500A
Overland Park, KS 66213
Phone (913) 323-9000
12300 Metcalf Ave
Shawnee Mission, KS 66213
Phone (913) 317-7000
901 E 104th St
Kansas City, MO 64131
Phone (816) 502-7117
5844 NW Barry Rd
Ste 110
Kansas City, MO 64154
Phone (816) 880-6100
2100 SE Blue Pkwy
Lees Summit, MO 64063
Phone (816) 282-5175
601 S US Highway 169
Smithville, MO 64089
Phone (816) 532-3999
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | D83036 | MD | |
| Diagnostic Radiology Physician | 2085R0202X | 2017034849 | MO | Yes |
Addresses
Primary practice location
1 Hospital Dr
Columbia, MO 65212-0001
Mailing address
PO Box 843966
Kansas City, MO 64184-3966
Phone (573) 884-3300
Other practice location 1
600 N Wolfe St
Baltimore, MD 21287-0005
Phone (410) 955-5000
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | MUDOCREFERRAL@direct.health.missouri.edu | Direct | Curators of the University of Missouri |
Other providers in Columbia, MO
- Ibrahim Ahmed Al Ali
- Mohammad Osama Al Bataineh
- Hasan Al Hameedi
- Alhareth M Al Juboori
- Yazan Al-Kharabsheh
- Mohannad Al-Samarraie
- Alanoud Ahmed Z Alaasmi
- Leticia Marie Alaniz
- Deepak Alapati
- Daniel Jose Albarran
All providers in Columbia, MO · Diagnostic Radiology Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 16, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.