Individual provider Active NPI

Hassan Majed Mostafa, M.D.

  • Cardiovascular Disease Physician
  • Jackson, MI
National Provider Identifier
1174939003
Registry record updated Apr 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
4301506086 Issued in MI
Practice address
205 Page Ave Ste B
Jackson, MI 49201-2462
Phone
(517) 205-4800
NPI assigned
Jul 11, 2014
Last updated
Apr 8, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 11018018A IN
Cardiovascular Disease Physician 207RC0000X 01077342A IN
Cardiovascular Disease Physician 207RC0000X 4301506086 MI Primary

Addresses

Primary practice location

205 Page Ave Ste B
Jackson, MI 49201-2462

Mailing address

1 Ford PL Ste 2E
Detroit, MI 48202-3450

Other practice location 1

13100 E 136th St Ste 3000
Fishers, IN 46037-9817
Phone (317) 678-3900

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hmostafa2@direct.iuhealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20220128001785 MI Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 1052537388 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Internal Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mymichigan Medical Center AlpenaGroup PAC ID 8527969922, 97 clinicians

Practice addresses (Care Compare)

460 Long Rapids PLZ
Alpena, MI 49707-1442
Phone (989) 356-0141

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting17
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Family Physicians, Inc. CurrentSince Dec 1, 2018 Accepting new patients
Jackson Cardiology Consultants PLLC CurrentSince Feb 1, 2022 Accepting new patients
Mymichigan Medical Center Saginaw CurrentSince Mar 20, 2025 Accepting new patients
Mymichigan Medical Center Midland CurrentSince Feb 12, 2024 Accepting new patients
Mymichigan Medical Center Saginaw Current Accepting new patients
Indiana University Health, Inc Cardiovascular Disease CurrentSince Jul 25, 2020 Accepting new patients
Mymichigan Medical Center Saginaw Cardiovascular Disease CurrentSince Mar 20, 2025 Accepting new patients
Mymichigan Medical Center Alpena Current Accepting new patients
Mymichigan Medical Center Saginaw Current Accepting new patients
Mymichigan Medical Center Midland CurrentSince Feb 12, 2024 Accepting new patients
University Family Physicians, Inc. CurrentSince Dec 1, 2018 Accepting new patients
Indiana University Health Care Associates, Inc CurrentSince Jul 1, 2020 Accepting new patients
Mymichigan Medical Center Alpena Cardiovascular Disease CurrentSince Feb 12, 2024 Accepting new patients
Mymichigan Medical Center Saginaw Past Accepting new patients
Mymichigan Medical Center Alpena Past Accepting new patients

Locations

2242 Reliable Pkwy
Chicago, IL 60686

5208 Reliable Pkwy
Chicago, IL 60686

7216 Solutions Ctr
Chicago, IL 60677

11700 N Meridian St
Carmel, IN 46032
Phone (317) 688-2000

13100 E 136th St
Ste 3000
Fishers, IN 46037
Phone (317) 678-2000

1 Memorial Sq
Ste 2200
Greenfield, IN 46140
Phone (317) 462-6662

801 N State St
Ste 2000
Greenfield, IN 46140
Phone (317) 325-2727

1520 N Senate Ave
Indianapolis, IN 46202
Phone (317) 962-0857

1701 N Senate Blvd
Bldg C6
Indianapolis, IN 46202
Phone (913) 962-2000

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

250 N Shadeland Ave
Ste 200
Indianapolis, IN 46219
Phone (317) 962-4836

2209 John R Wooden Dr
Martinsville, IN 46151
Phone (765) 342-3364

1501 W Chisholm St
Alpena, MI 49707
Phone (989) 356-7000

460 Long Rapids Plz
Alpena, MI 49707
Phone (989) 356-0141

1117 S Van Dyke Rd
Ste 300
Bad Axe, MI 48413

2660 W Sugnet Rd
Midland, MI 48640
Phone (989) 488-5010

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

4500 N Campus Ridge Dr
Midland, MI 48640
Phone (989) 837-9250

1015 S Washington Ave
Fl 2
Saginaw, MI 48601
Phone (989) 753-5300

3570 Shattuck Rd
Saginaw, MI 48603
Phone (989) 792-5353

Interoperability endpoints

  • Direct secure messaging: hmostafa147350@mymichiganhealth.midirect.net
  • Direct secure messaging: hmostafa2@direct.iuhealth.org
  • Direct secure messaging: hmostafa790281@direct.hfhs.org

Organizations & group practices 15

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 15

Hospital & facility affiliations 6

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": "1405036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649376000000",
    "number": "1174939003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FORD PL STE 2E",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482023450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 PAGE AVE STE B",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492012462",
            "telephone_number": "517-205-4800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13100 E 136th St Ste 3000",
            "address_purpose": "LOCATION",
            "city": "Fishers",
            "state": "IN",
            "postal_code": "460379817",
            "country_code": "US",
            "telephone_number": "317-678-3900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOSTAFA",
        "first_name": "HASSAN",
        "middle_name": "MAJED",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-11",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IN",
            "license": "11018018A",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IN",
            "license": "01077342A",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301506086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hmostafa2@direct.iuhealth.org",
            "affiliation": "N",
            "address_1": "13100 E 136th St Ste 3000",
            "city": "Fishers",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460379817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

Verify at the official NPI Registry.