Individual provider Active NPI

Muhammad Shahid Mustafa, M.D.

  • Neurology Physician
  • Houston, TX
National Provider Identifier
1154511871
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
K2541 Issued in TX
Practice address
14781 Memorial Dr
Suite 1598
Houston, TX 77079-5210
Phone
(261) 668-7702
NPI assigned
Jul 30, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X K2541 TX Primary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X K2541 TX

Addresses

Primary practice location

14781 Memorial Dr
Suite 1598
Houston, TX 77079-5210

Mailing address

14781 Memorial Dr
Suite 1598
Houston, TX 77079-5210
Phone (261) 668-7702

Other practice location 1

700 E Marshall Ave
Longview, TX 75601-5580
Phone (903) 315-1488

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, SD2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20100812000658 TX Practitioner - Neurology 3274540315 Reassigns benefits to 3 organizations
I20180820003504 SD Practitioner - Neurology 3274540315 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christus Trinity Clinic TexasGroup PAC ID 3072426741, 1,540 clinicians

Practice addresses (Care Compare)

620 S Fleishel Ave
Christus Trinity Clinic
Tyler, TX 75701-2041
Phone (903) 606-4900

630 S Fleishel Ave
Tyler, TX 75701-2041
Phone (903) 606-5560

700 E Marshall Ave
Christus Trinity Clinic
Longview, TX 75601-5580
Phone (903) 315-1488

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Veeone Medical Group II Professional Corporation Neurology CurrentSince Feb 1, 2023 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Mar 11, 2024 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Mar 11, 2024 Accepting new patients
Veeone Medical Group PA Neurology CurrentSince Mar 1, 2023 Accepting new patients
Advanced Neurodiagnostics, LLC CurrentSince Jan 2, 2013 Accepting new patients

Locations

1420 E Roseville Pkwy
Ste 140519
Roseville, CA 95661

700 E Marshall Ave
Longview, TX 75601
Phone (903) 236-2000

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

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 1

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": "1185753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1154511871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14781 MEMORIAL DR",
            "address_2": "SUITE 1598",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770795210",
            "telephone_number": "261-668-7702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14781 MEMORIAL DR",
            "address_2": "SUITE 1598",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770795210",
            "telephone_number": "261-668-7702"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 E Marshall Ave",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "TX",
            "postal_code": "756015580",
            "country_code": "US",
            "telephone_number": "903-315-1488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUSTAFA",
        "first_name": "MUHAMMAD",
        "middle_name": "SHAHID",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-30",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "K2541",
            "primary": true
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "TX",
            "license": "K2541",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.