Individual provider Active NPI

Mustafa Mohammed Moazam, MD

  • Internal Medicine Physician
  • El Paso, TX
National Provider Identifier
1306987474
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
N6499 Issued in TX
Practice address
14470 Horizon Blvd Ste J
El Paso, TX 79928-7696
Phone
(832) 940-7071
Fax
(877) 761-6002
NPI assigned
Feb 9, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X N6499 TX
Child & Adolescent Psychiatry Physician 2084P0804X N6499 TX
Internal Medicine Physician 207R00000X N6499 TX Primary
Psychiatry Physician 2084P0800X N6499 TX
Pediatric Hematology & Oncology Physician 2080P0207X N6499 TX
Psychiatry Physician 2084P0800X 036.177866 IL
Child & Adolescent Psychiatry Physician 2084P0804X 036.177866 IL

Addresses

Primary practice location

14470 Horizon Blvd Ste J
El Paso, TX 79928-7696

Mailing address

14470 Horizon Blvd Ste J
Horizon City, TX 79928-7696
Phone (915) 852-3225

Other practice location 1

3913 Broaddus Ave
El Paso, TX 79904-5503
Phone (915) 852-3225

Other practice location 2

1700 W 100th Ave Ste 100
Thornton, CO 80260-5982
Phone (720) 388-7071

Other practice location 3

7106 Spencer Hwy
Pasadena, TX 77505-1806
Phone (832) 940-7071

Other practice location 4

1161 Mall Dr
Ste C
Las Cruces, NM 88011-8193
Phone (915) 704-4427

Other identifiers 1

IdentifierTypeStateIssuer
218754401MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CO, NM, IL4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20101005000250 TX Practitioner - Internal MedicinePractitioner - PsychiatryPractitioner - Pediatric MedicinePractitioner - Hematology/Oncology 0648329755 Reassigns benefits to 4 organizations
I20160818001476 CO Practitioner - PsychiatryPractitioner - Internal MedicinePractitioner - Pediatric MedicinePractitioner - Hematology/Oncology 0648329755 Reassigns benefits to 2 organizations
I20161019002519 NM Practitioner - Internal MedicinePractitioner - Pediatric MedicinePractitioner - HematologyPractitioner - Hematology/Oncology 0648329755 Reassigns benefits to 1 organization
I20260204002198 IL Practitioner - Psychiatry 0648329755 Practice locations: Chicago, IL

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hematology, Pediatric Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Moazam PA 2 clinicians

Practice addresses (Care Compare)

1161 Mall Dr
Suite C
Las Cruces, NM 88011-8193
Phone (915) 704-4427

14470 Horizon Blvd J
Horizon City, TX 79928-7696
Phone (915) 228-6324

1700 W 100TH Ave
Suite 100
Thornton, CO 80260-5982
Phone (915) 852-3225

5535 W Cermak Rd
Suite a
Chicago, IL 60804-2218
Phone (915) 350-3400

7106 Spencer Hwy
Pasadena, TX 77505-1806
Phone (832) 479-2709

Hospital & facility affiliations

  • University Medical Center of El Paso Hospital, El Paso, TX, CCN 450024
  • Sierra Medical Center Hospital, El Paso, TX, CCN 450668

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N6499TXMDPediatrics Physician
036.177866ILMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Tech University Health Sciences Center El Paso CurrentSince Nov 1, 2015 Accepting new patients
Texas Tech University Health Sciences Center El Paso Internal Medicine Current Accepting new patients
Healthy Horizons Psychiatry PC Psychiatry CurrentSince Nov 13, 2024 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Internal Medicine CurrentSince Dec 6, 2015 Accepting new patients
Moazam PA Internal Medicine CurrentSince Jun 1, 2011 Accepting new patients
Texas Tech University Health Sciences Center El Paso Pediatrics CurrentSince Nov 1, 2015 Accepting new patients
Moazam PA Internal Medicine CurrentSince Jan 12, 2012 Accepting new patients

Locations

1700 W 100th Ave
Ste 101
Thornton, CO 80260
Phone (720) 515-9112

1700 W 100th Ave
Thornton, CO 80260
Phone (720) 388-7071

1700 W 100th Ave
Ste 100
Thornton, CO 80260

1700 W 100th Ave
#101
Thornton, CO 80260
Phone (915) 350-3400

5535 W Cermak Rd
Ste A
Cicero, IL 60804
Phone (708) 780-7705

1161 Mall Dr
Ste C
Las Cruces, NM 88011
Phone (575) 522-2330

4801 Alberta Ave
El Paso, TX 79905
Phone (915) 215-5200

8720 Alameda Ave
Ste C
El Paso, TX 79907
Phone (915) 307-6159

935 Sunland Park Dr
Ste 102
El Paso, TX 79922
Phone (915) 231-2286

6974 Gateway Blvd E
Ste F
El Paso, TX 79915
Phone (915) 540-4251

3329 Montana Ave
El Paso, TX 79903
Phone (915) 562-7101

6955 N Mesa St
Ste 104
El Paso, TX 79912
Phone (915) 444-2668

1625 Medical Center Dr
El Paso, TX 79902
Phone (915) 577-7746

5505 N Mesa St
Ste 2
El Paso, TX 79912
Phone (915) 213-3262

2001 N Oregon St
El Paso, TX 79902
Phone (915) 577-6011

14470 Horizon Blvd
Ste J
Horizon City, TX 79928
Phone (915) 777-9075

14470 Horizon Blvd
Ste Aj
Horizon City, TX 79928

14470 Horizon Blvd
Ste A
Horizon City, TX 79928

18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409

7106 Spencer Hwy
Pasadena, TX 77505
Phone (281) 542-9400

2721 Sunrise Meadow Dr
Bldg 11
Pearland, TX 77584

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

Interoperability endpoints

  • Direct secure messaging: mustafa.moazam@pfca.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/AHHGDD/Endpoint/AHHGDD
  • FHIR API: https://fhir4.healow.com/fhir/r4/EBFCDA/Endpoint/EBFCDA

Organizations & group practices 7

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 5

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": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1306987474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14470 HORIZON BLVD STE J",
            "city": "HORIZON CITY",
            "state": "TX",
            "postal_code": "799287696",
            "telephone_number": "915-852-3225",
            "fax_number": "915-209-8289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14470 HORIZON BLVD STE J",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799287696",
            "telephone_number": "832-940-7071",
            "fax_number": "877-761-6002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3913 Broaddus Ave",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799045503",
            "country_code": "US",
            "telephone_number": "915-852-3225",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1700 W 100th Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Thornton",
            "state": "CO",
            "postal_code": "802605982",
            "country_code": "US",
            "telephone_number": "720-388-7071",
            "fax_number": "877-761-6002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7106 Spencer Hwy",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "TX",
            "postal_code": "775051806",
            "country_code": "US",
            "telephone_number": "832-940-7071",
            "fax_number": "877-761-6002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1161 MALL DR",
            "address_2": "STE C",
            "address_purpose": "LOCATION",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118193",
            "country_code": "US",
            "telephone_number": "915-704-4427",
            "fax_number": "877-761-6002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOAZAM",
        "first_name": "MUSTAFA",
        "middle_name": "MOHAMMED",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-09",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "N6499",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "TX",
            "license": "N6499",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N6499",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "N6499",
            "primary": false
        },
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "TX",
            "license": "N6499",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036.177866",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "IL",
            "license": "036.177866",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "218754401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.