Active NPI
Mustafa Kaakour, MD
- Cytopathology Physician
- Utica, NY
National Provider Identifier
1245393040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cytopathology Physician
- License
- 1894621
- Practice address
- 1656 Champlin Ave
Department of Pathology
Utica, NY 13502-4830 - Phone
- (315) 797-0790
- Fax
- (315) 624-8204
- NPI assigned
- Dec 19, 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 |
|---|---|---|---|---|
| Cytopathology Physician | 207ZC0500X | 1894621 | NY | Primary |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 1894621 | NY |
Addresses
Primary practice location
1656 Champlin Ave
Department of Pathology
Utica, NY 13502-4830
Mailing address
117 Sylvan Way
New Hartford, NY 13413-3436
Phone (315) 724-4429
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 81472 | Other | NY | EMPIRE BC BS |
Other names 1
- Dr. Mustafa Abdul Hadi Ka' Kur
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1894621 | NY | MD | Cytopathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Westchester Medical Center Advanced Physician Services PC | Current | Accepting new patients | |
| Westchester Medical Center Advanced Physician Services, PC | Current | Accepting new patients |
Locations
95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961
Organizations & group practices 2
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.
-
- Surgery Physician
- Valhalla, NY
- NPI 1912131392
-
- Anesthesiology Physician
- Valhalla, NY
- NPI 1740687458
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1245393040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 SYLVAN WAY",
"city": "NEW HARTFORD",
"state": "NY",
"postal_code": "134133436",
"telephone_number": "315-724-4429",
"fax_number": "315-724-4429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1656 CHAMPLIN AVE",
"address_2": "DEPARTMENT OF PATHOLOGY",
"city": "UTICA",
"state": "NY",
"postal_code": "135024830",
"telephone_number": "315-797-0790",
"fax_number": "315-624-8204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAAKOUR",
"first_name": "MUSTAFA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-19",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207ZC0500X",
"taxonomy_group": "",
"desc": "Pathology, Cytopathology",
"state": "NY",
"license": "1894621",
"primary": true
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "NY",
"license": "1894621",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BC BS",
"identifier": "81472",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MUSTAFA",
"last_name": "KA' KUR",
"middle_name": "ABDUL HADI",
"prefix": "DR.",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Utica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.