NPIMap

Individual provider Active NPI

Muhammad M. Mustafa, M.D.

  • Internal Medicine Physician
  • Tampa, FL
National Provider Identifier
1124039284
Registry record updated Oct 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME96384 Issued in FL
Practice address
2810 W Saint Isabel St
Suite 201
Tampa, FL 33607-6375
Phone
(813) 890-8004
Fax
(813) 290-9691
NPI assigned
Aug 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME96384 FL Primary
Hospitalist Physician 208M00000X ME96384 FL

Addresses

Primary practice location

2810 W Saint Isabel St
Suite 201
Tampa, FL 33607-6375

Mailing address

PO Box 20065
Tampa, FL 33622-0065
Phone (813) 890-8004

Other identifiers 1

IdentifierTypeStateIssuer
276095900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20061002000052 FL Practitioner - Internal Medicine 5597760215 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay Area Hospitalists PAGroup PAC ID 6406814060, 24 clinicians

Practice addresses (Care Compare)

3100 E Fletcher Ave
Tampa, FL 33613-4613
Phone (813) 615-7200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME96384FLMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care Center of Lynn Haven Internal Medicine Current Accepting new patients
Bay Area Hospitalists PA Internal Medicine CurrentSince Sep 1, 2015 Accepting new patients
Inpatient Consultants of Florida, Inc. Internal Medicine Past Accepting new patients
Primary Care Center, P.a. Internal Medicine Past Accepting new patients
4MD2 in Patient Physician Services of Fort Walton Beach LLC Hospitalist Past Accepting new patients
Inpatient Consultants of Florida, Inc Internal Medicine Past Accepting new patients

Locations

119 Oakfield Dr
Brandon, FL 33511
Phone (813) 571-5150

825 Florida Ave
Lynn Haven, FL 32444
Phone (850) 265-3686

4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145

7171 N Dale Mabry Hwy
Tampa, FL 33614
Phone (813) 558-8001

3100 E Fletcher Ave
Tampa, FL 33613
Phone (813) 615-7200

3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222

3001 W Mlk Blvd
Tampa, FL 33607
Phone (813) 361-6778

4801 N Howard Ave
Tampa, FL 33603
Phone (727) 581-4800

2810 W Saint Isabel St
Ste 201
Tampa, FL 33607
Phone (813) 681-0141

Organizations & group practices 6

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": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443744000000",
    "number": "1124039284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20065",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336220065",
            "telephone_number": "813-890-8004",
            "fax_number": "813-290-9691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 W SAINT ISABEL ST",
            "address_2": "SUITE 201",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076375",
            "telephone_number": "813-890-8004",
            "fax_number": "813-290-9691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSTAFA",
        "first_name": "MUHAMMAD",
        "middle_name": "M.",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2015-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME96384",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME96384",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "276095900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.