NPIMap

Individual provider Active NPI

Mohamadmostafa Jahansouz, MD

  • Neurology Physician
  • Rapid City, SD
National Provider Identifier
1275160244
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
00016637 Issued in SD
Practice address
677 Cathedral Dr
Rapid City, SD 57701-6018
Phone
(605) 755-5000
NPI assigned
Mar 26, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Psychiatry & Neurology) Physician 2084S0012X 00016637 SD
Neurology Physician 2084N0400X 00016637 SD Primary

Addresses

Primary practice location

677 Cathedral Dr
Rapid City, SD 57701-6018

Mailing address

677 Cathedral Dr
Rapid City, SD 57701-6018
Phone (605) 755-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250812003243 SD Practitioner - Sleep Medicine 7113425752 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Sleep Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

677 Cathedral Dr
Suite 200
Rapid City, SD 57701-7389
Phone (605) 755-4150

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Monument Health Network, Inc. CurrentSince Oct 7, 2025 Accepting new patients
Monument Health Rapid City Hospital, Inc Current Accepting new patients
Monument Health Network, Inc. CurrentSince Oct 1, 2025 Accepting new patients
Monument Health Network, Inc. CurrentSince Oct 15, 2025 Accepting new patients
Monument Health Rapid City Hospital Inc CurrentSince Jun 17, 2025 Accepting new patients
Monument Health Network, Inc. CurrentSince Oct 1, 2025 Accepting new patients
Monument Health Rapid City Hospital, Inc. CurrentSince Jun 17, 2025 Accepting new patients
Monument Health Rapid City Hospital, Inc. Past Accepting new patients

Locations

61 Charles St
Deadwood, SD 57732
Phone (605) 717-6000

677 Cathedral Dr
Ste 200
Rapid City, SD 57701
Phone (605) 343-9224

353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000

1440 N Main St
Spearfish, SD 57783
Phone (605) 644-4000

2140 Junction Ave
Sturgis, SD 57785
Phone (605) 720-2400

Organizations & group practices 10

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 19

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 19

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1585180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1275160244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "677 CATHEDRAL DR",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577016018",
            "telephone_number": "605-755-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "677 CATHEDRAL DR",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577016018",
            "telephone_number": "605-755-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAHANSOUZ",
        "first_name": "MOHAMADMOSTAFA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-26",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "SD",
            "license": "00016637",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "SD",
            "license": "00016637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

Verify at the official NPI Registry.