Active NPI
Ghulam Mustafa, MD
- Neonatal-Perinatal Medicine Physician
- Albion, NY
National Provider Identifier
1184684045
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Jun 20, 2012.
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- 001051
- Practice address
- 210 South Main Street
Albion, NY 14411 - Phone
- (585) 589-7874
- Fax
- (585) 589-2958
- NPI assigned
- Mar 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 001051 | NY | |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 001051 | NY | Primary |
Addresses
Primary practice location
210 South Main Street
Albion, NY 14411
Mailing address
210 South Main Street
Albion, NY 14411
Phone (585) 589-7874
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02069961 | Medicaid | NY | |
| 1210914 | Other | NY | INDEPENDENT HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001051 | NY | MD | Neonatal-Perinatal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1184684045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 SOUTH MAIN STREET",
"city": "ALBION",
"state": "NY",
"postal_code": "14411",
"telephone_number": "585-589-7874",
"fax_number": "585-589-2958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 SOUTH MAIN STREET",
"city": "ALBION",
"state": "NY",
"postal_code": "14411",
"telephone_number": "585-589-7874",
"fax_number": "585-589-2958"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUSTAFA",
"first_name": "GHULAM",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-24",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "001051",
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "NY",
"license": "001051",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02069961",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENT HEALTH",
"identifier": "1210914",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Albion, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.