Organization Active NPI

Rofaida El Haj Mousa MD PLLC

  • Internal Medicine Physician
  • Rowlett, TX
National Provider Identifier
1104653096
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ROFAIDA EL HAJ MOUSA MD PLLC
Practice address
6705 Barolo Dr
Rowlett, TX 75088-6716
Phone
(214) 831-2521
Fax
(210) 404-4605
NPI assigned
Sep 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Authorized official

Name
Rofaida El Haj Mousa, MDNPI 1871954792
Title
Authorized Official
Phone
(214) 831-2521

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

6705 Barolo Dr
Rowlett, TX 75088-6716

Mailing address

6705 Barolo Dr
Rowlett, TX 75088-6716
Phone (214) 831-2521

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241001001559 TX Part B Supplier - Clinic/Group Practice 8820529977 Receives reassigned benefits from 1 practitioner
Practice locations: Richardson, TX; Rowlett, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1726444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726444800000",
    "number": "1104653096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6705 BAROLO DR",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750886716",
            "telephone_number": "214-831-2521",
            "fax_number": "210-404-4605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6705 BAROLO DR",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750886716",
            "telephone_number": "214-831-2521",
            "fax_number": "210-404-4605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROFAIDA EL HAJ MOUSA MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-16",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A",
        "authorized_official_last_name": "EL HAJ MOUSA",
        "authorized_official_first_name": "ROFAIDA",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "214-831-2521",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rowlett, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.