Individual provider Active NPI

Gamal Mostafa, MD

  • Surgery Physician
  • Tampa, FL
National Provider Identifier
1245261031
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
4301101895 Issued in MI
Practice address
2 Tampa General Cir
Tampa, FL 33606-3571
Phone
(813) 821-8038
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 036-148286 IL
Surgery Physician 208600000X 64641 CT
Surgery Physician 208600000X 25MA06147500 NJ
Surgical Critical Care Physician 2086S0102X MD048237 DC
Surgical Critical Care Physician 2086S0102X 4301101895 MI
Surgical Critical Care Physician 2086S0102X 036148286 IL
Surgical Critical Care Physician 2086S0102X ME146617 FL
Surgical Critical Care Physician 2086S0102X 036-148286 IL
Surgical Critical Care Physician 2086S0102X 64641 CT
Trauma Surgery Physician 2086S0127X 35.134044 OH
Trauma Surgery Physician 2086S0127X ME146617 FL
Trauma Surgery Physician 2086S0127X 64641 CT
Trauma Surgery Physician 2086S0127X MD048237 DC
Trauma Surgery Physician 2086S0127X 036148286 IL
Surgery Physician 208600000X 4301101895 MI Primary

Addresses

Primary practice location

2 Tampa General Cir
Tampa, FL 33606-3571

Mailing address

PO Box 917770
Orlando, FL 32891-0001

Other practice location 1

3000 Arlington Ave
Toledo, OH 43614-2595
Phone (419) 383-3759

Other practice location 2

4160 John R
Suite 615
Detroit, MI 48201-2020
Phone (313) 745-4195

Other practice location 3

2041 Georgia Ave NW # 4000
Washington, DC 20060-4089
Phone (202) 865-3785

Other practice location 4

18101 Oakwood Blvd
Dearborn, MI 48124-4089
Phone (313) 982-5440

Other practice location 5

1725 W Harrison St Ste 810
Chicago, IL 60612-3863
Phone (312) 942-5500

Other practice location 6

20 Prospect Ave
Hackensack, NJ 07601-1997
Phone (551) 996-3182

Other practice location 7

18101 Oakwood Blvd
Dearborn, MI 48124-4089
Phone (313) 295-5000

Other practice location 8

10000 Telegraph Rd
Taylor, MI 48180-3330
Phone (313) 295-5000

Other practice location 9

28050 Grand River Ave
Farmington Hills, MI 48336-5919
Phone (947) 521-8000

Other practice location 10

2601 W Main St
Carbondale, IL 62901-1031
Phone (618) 351-7300

Other identifiers 5

IdentifierTypeStateIssuer
107785800MedicaidFL
700E012740OtherMIBCBSM GROUP PIN
25MA06147500OtherNJNJ LICENSE
MD048237OtherDCSTATE LICENSE
CO2MOOtherFLBCBS

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address gmostafa441560@direct.beaumont.edu
Direct Messaging Address gmostafa216342@direct.tgh.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, IL, OH, FL, DC, TX, CA, NY, NJ9 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 9

Enrollment IDStateProvider typePAC IDDetails
I20130206000213 MI Practitioner - General SurgeryPractitioner - Critical Care (Intensivists) 9234115981 Reassigns benefits to 6 organizations
I20190313000251 IL Practitioner - General Surgery 9234115981 Reassigns benefits to 2 organizations
I20191209001794 OH Practitioner - General Surgery 9234115981 Reassigns benefits to 3 organizations
I20200819001091 FL Practitioner - Critical Care (Intensivists) 9234115981 Reassigns benefits to 1 organization
I20210127003457 DC Practitioner - General Surgery 9234115981 Reassigns benefits to 1 organization
I20210312001981 TX Practitioner - General SurgeryPractitioner - Critical Care (Intensivists) 9234115981 Reassigns benefits to 1 organization
I20210429002482 CA Practitioner - Critical Care (Intensivists)Practitioner - General Surgery 9234115981 Reassigns benefits to 2 organizations
I20220322002739 NY Practitioner - General SurgeryPractitioner - Critical Care (Intensivists) 9234115981 Reassigns benefits to 5 organizations
I20230614003234 NJ Practitioner - General Surgery 9234115981 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Faculty Associates, IncGroup PAC ID 4082528898, 676 clinicians
Beaumont Medical Group Hospital Based ServicesGroup PAC ID 3072875889, 575 clinicians
The Metrohealth SystemGroup PAC ID 8628982949, 1,150 clinicians
Fisher-Titus Medical Care LLCGroup PAC ID 6507940566, 82 clinicians
Cal Med Physicians and Surgeons IncGroup PAC ID 4385556687, 34 clinicians

Practice addresses (Care Compare)

1200 Pecan St SE
Washington, DC 20032-2652
Phone (771) 444-6200

18101 Oakwood Blvd
Dearborn, MI 48124-4089

2500 Metrohealth Dr
Cleveland, OH 44109-1900
Phone (216) 778-7800

272 Benedict Ave
Norwalk, OH 44857-2374
Phone (419) 668-8101

400 N Pepper Ave
Colton, CA 92324-1801
Phone (909) 580-3353

44201 Dequindre Rd
Troy, MI 48085-1117
Phone (248) 964-1187

44201 Dequindre Rd Ec
Beaumont Emergency Services TR
Troy, MI 48085-1117
Phone (248) 964-5111

468 Cadieux Rd
Grosse Pointe, MI 48230-1507
Phone (313) 473-1605

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
314933NYMDLicensed Practical Nurse
036-148286ILMDSurgery Physician
4301101895MIMDSurgery Physician
25MA06147500NJMDSurgery Physician
MD048237DCMDTrauma Surgery Physician
036148286ILMDTrauma Surgery Physician
35.134044OHMDTrauma Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cook County Surgery CurrentSince Mar 24, 2019 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Sep 1, 2020 Accepting new patients
Rush University Medical Group Surgery CurrentSince Dec 1, 2021 Accepting new patients
University Physician Group CurrentSince Nov 15, 2012 Accepting new patients
North Shore - Lij Medical PC CurrentSince Nov 1, 2022 Accepting new patients
University of Florida Jacksonville Physicians, Inc. Surgery Current Accepting new patients
Mercy Health Physicians Lorain Specialty Care LLC CurrentSince Jun 15, 2024 Accepting new patients
Faculty Physicians and Surgeons of Llusm Surgery Current Accepting new patients
Oakwood Ambulatory, LLC CurrentSince Jun 30, 2017 Accepting new patients
North Shore-Lij Medical PC CurrentSince Nov 1, 2022 Accepting new patients
Faculty Physicians and Surgeons of Llusm CurrentSince Apr 1, 2021 Accepting new patients
Albany Medical College Surgery CurrentSince Mar 3, 2022 Accepting new patients
Beaumont Medical Group Hospital -Based Services CurrentSince Jan 1, 2019 Accepting new patients
Lewis County General Hospital CurrentSince Jul 1, 2024 Accepting new patients
Cal Med Physicians and Surgeons, Inc. Surgery CurrentSince Jan 26, 2026 Accepting new patients
Henry Ford Health System CurrentSince Jun 16, 2014 Accepting new patients
Fisher-Titus Medical Care LLC CurrentSince May 16, 2025 Accepting new patients
Mercy Health Physicians Lorain Specialty Care LLC Surgery CurrentSince Jun 15, 2024 Accepting new patients
University Physician Group CurrentSince Nov 15, 2012 Accepting new patients
Lewis County CurrentSince Jul 1, 2024 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Sep 1, 2020 Accepting new patients
Oakwood Ambulatory LLC Surgery CurrentSince Jun 30, 2017 Accepting new patients
TJH Medical Services, P.C. Surgery CurrentSince Jul 8, 2022 Accepting new patients
Henry Ford Health System Current Accepting new patients
Faculty Physicians and Surgeons of Llusm CurrentSince Apr 1, 2021 Accepting new patients
Critical Care Medicine Partners, PC Surgical Critical Care CurrentSince Jun 7, 2017 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Mar 3, 2023 Accepting new patients
Ascension Medical Group Promed CurrentSince Nov 1, 2020 Accepting new patients
Fisher-Titus Medical Center Current Accepting new patients
Albany Medical College CurrentSince Mar 3, 2022 Accepting new patients
SBH Physicians, PC Surgery CurrentSince Apr 1, 2022 Accepting new patients
The Metrohealth System Current Accepting new patients
Albany Medical College Surgery Current Accepting new patients
Critical Care Medicine Partners, PC CurrentSince Jun 7, 2017 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC Surgical Critical Care CurrentSince Mar 3, 2023 Accepting new patients
Promed Healthcare CurrentSince Nov 1, 2020 Accepting new patients
Cook County Current Accepting new patients
The Metrohealth System CurrentSince Jun 23, 2024 Accepting new patients
Ascension Medical Group Promed Surgery Current Accepting new patients
Acute Care Surgical Affiliates of Texas PA Surgery CurrentSince Apr 15, 2024 Accepting new patients
SBH Physicians, PC CurrentSince Apr 1, 2022 Accepting new patients
The Metrohealth System Surgery CurrentSince Jun 23, 2024 Accepting new patients
Cook County CurrentSince Mar 24, 2019 Accepting new patients
Howard University Surgery CurrentSince Nov 2, 2020 Accepting new patients
Albany Medical College CurrentSince Mar 3, 2022 Accepting new patients
Lewis County General Hospital Surgery Current Accepting new patients
Henry Ford Health System CurrentSince Jun 16, 2014 Accepting new patients
St. Barnabas Hospital Past Accepting new patients
University of Texas Rio Grande Valley Past Accepting new patients

Locations (25 of 56)

81 Highland Springs Ave
Ste 103
Beaumont, CA 92223
Phone (909) 558-2830

11370 Anderson St
Ste 2100
Loma Linda, CA 92354
Phone (909) 558-2824

25845 Barton Rd
Ste F
Loma Linda, CA 92354
Phone (909) 558-2828

File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300

26520 Cactus Ave
Ste 2021
Moreno Valley, CA 92555
Phone (951) 486-5700

28078 Baxter Rd
Murrieta, CA 92563
Phone (951) 290-4000

3762 Tibbetts St
Riverside, CA 92506
Phone (951) 686-2224

44274 George Cushman Ct
Ste 208
Temecula, CA 92592
Phone (951) 501-4200

901 San Bernardino Rd
Ste 104
Upland, CA 91786
Phone (909) 542-2779

2041 Georgia Ave NW
Washington, DC 20060
Phone (202) 865-3785

2041 Georgia Ave NW
#4000
Washington, DC 20060
Phone (202) 865-3785

2041 Georgia Ave NW
#6101
Washington, DC 20060

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

1901 W Harrison St
Chicago, IL 60612
Phone (312) 864-5100

500 E 51st St
Chicago, IL 60615
Phone (312) 572-2000

1725 W Harrison St
Ste 810
Chicago, IL 60612
Phone (312) 942-6500

75 Remittance Dr
Dept 1611
Chicago, IL 60675

2101 Medical Park Dr
Ste 305
Silver Spring, MD 20902
Phone (301) 754-0833

201 3rd St
Ste 200
Belleville, MI 48111
Phone (734) 697-9065

18101 Oakwood Blvd
Dearborn, MI 48124
Phone (313) 593-8780

4100 John R St
Detroit, MI 48201
Phone (313) 576-8530

4160 John R St
Ste 615
Detroit, MI 48201
Phone (313) 745-5111

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: gmostafa475908@direct.shands.ufl.edu
  • Direct secure messaging: gmostafa19083@sbhny.direct-ci.net
  • Direct secure messaging: gmostafa186422@direct.rush.rush-health.com
  • Direct secure messaging: gmostafa281342@direct.metrohealth.org
  • Direct secure messaging: gmostafa1247843@epic00.shdirect.org
  • Direct secure messaging: gmostafa@direct.dmc.org
  • Direct secure messaging: gmostafa368691@direct.llu.edu
  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD
  • Direct secure messaging: gamal.mostafa@xdr.hhchealthdirect.org

Organizations & group practices 50

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.

View all 50

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1245261031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 917770",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328910001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 TAMPA GENERAL CIR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336063571",
            "telephone_number": "813-821-8038"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 Arlington Ave",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436142595",
            "country_code": "US",
            "telephone_number": "419-383-3759",
            "fax_number": "419-383-2962",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4160 John R",
            "address_2": "Suite 615",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482012020",
            "country_code": "US",
            "telephone_number": "313-745-4195",
            "fax_number": "313-993-8669",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2041 Georgia Ave NW # 4000",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200604089",
            "country_code": "US",
            "telephone_number": "202-865-3785",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18101 Oakwood Blvd",
            "address_purpose": "LOCATION",
            "city": "Dearborn",
            "state": "MI",
            "postal_code": "481244089",
            "country_code": "US",
            "telephone_number": "313-982-5440",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1725 W Harrison St Ste 810",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606123863",
            "country_code": "US",
            "telephone_number": "312-942-5500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20 Prospect Ave",
            "address_purpose": "LOCATION",
            "city": "Hackensack",
            "state": "NJ",
            "postal_code": "076011997",
            "country_code": "US",
            "telephone_number": "551-996-3182",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18101 Oakwood Blvd",
            "address_purpose": "LOCATION",
            "city": "Dearborn",
            "state": "MI",
            "postal_code": "481244089",
            "country_code": "US",
            "telephone_number": "313-295-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10000 Telegraph Rd",
            "address_purpose": "LOCATION",
            "city": "Taylor",
            "state": "MI",
            "postal_code": "481803330",
            "country_code": "US",
            "telephone_number": "313-295-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "28050 Grand River Ave",
            "address_purpose": "LOCATION",
            "city": "Farmington Hills",
            "state": "MI",
            "postal_code": "483365919",
            "country_code": "US",
            "telephone_number": "947-521-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2601 W Main St",
            "address_purpose": "LOCATION",
            "city": "Carbondale",
            "state": "IL",
            "postal_code": "629011031",
            "country_code": "US",
            "telephone_number": "618-351-7300",
            "fax_number": "618-457-7890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOSTAFA",
        "first_name": "GAMAL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036-148286",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CT",
            "license": "64641",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MA06147500",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "DC",
            "license": "MD048237",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "MI",
            "license": "4301101895",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "IL",
            "license": "036148286",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "FL",
            "license": "ME146617",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "IL",
            "license": "036-148286",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "CT",
            "license": "64641",
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "OH",
            "license": "35.134044",
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "FL",
            "license": "ME146617",
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "CT",
            "license": "64641",
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "DC",
            "license": "MD048237",
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "IL",
            "license": "036148286",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301101895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107785800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM GROUP PIN",
            "identifier": "700E012740",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ LICENSE",
            "identifier": "25MA06147500",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "MD048237",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "CO2MO",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gmostafa441560@direct.beaumont.edu",
            "affiliation": "N",
            "address_1": "18101 Oakwood Blvd",
            "city": "Dearborn",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481244089",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gmostafa216342@direct.tgh.org",
            "affiliation": "N",
            "address_1": "2 Tampa General Cir",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336063571",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.