Individual provider Active NPI

Mostafa Mohamed Rezk, DO

  • Family Medicine Physician
  • Hampstead, NC
National Provider Identifier
1316238173
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2013-01240 Issued in NC
Practice address
25 N Hampstead Village Dr
Hampstead, NC 28443-3932
Phone
(910) 803-0340
Fax
(910) 803-0342
NPI assigned
Apr 28, 2011
Last updated
Jun 24, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2013-01240 NC Primary

Addresses

Primary practice location

25 N Hampstead Village Dr
Hampstead, NC 28443-3932

Mailing address

25 N Hampstead Village Dr
Hampstead, NC 28443-3932
Phone (910) 803-0340

Other practice location 1

306 S Campbell St
Burgaw, NC 28425-5010
Phone (910) 259-3377

Other practice location 2

301 S Campbell St
Burgaw, NC 28425-5011
Phone (910) 259-5721

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20141031001184 NC Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 5294978003 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Osteopathic Manipulative Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Burgaw Medical Center, P.C.Group PAC ID 2062698491, 2 clinicians

Practice addresses (Care Compare)

109 W Church St
Atkinson, NC 28421-9230
Phone (910) 283-7783

25 N Hampstead Village Dr
Hampstead, NC 28443-3932
Phone (910) 803-0340

301 S Campbell St
Burgaw, NC 28425-5011
Phone (910) 259-5721

306 S Campbell St
Burgaw, NC 28425-5010
Phone (910) 259-3377

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Black River Health Services Inc Family Medicine Current Accepting new patients
Black River Health Services Inc CurrentSince Jan 1, 2025 Accepting new patients
Black River Health Services Inc CurrentSince Jan 1, 2025 Accepting new patients

Locations

109 W Church St
Atkinson, NC 28421
Phone (910) 283-7783

301 S Campbell St
Burgaw, NC 28425
Phone (910) 259-5721

4811 NC Hwy 50
Maple Hill, NC 28454
Phone (910) 259-6444

Interoperability endpoints

  • Direct secure messaging: mostafa.rezk.1@8277.direct.athenahealth.com
  • Direct secure messaging: mrezk@3efc1d06.micromddirect.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1303948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1316238173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 N HAMPSTEAD VILLAGE DR",
            "city": "HAMPSTEAD",
            "state": "NC",
            "postal_code": "284433932",
            "telephone_number": "910-803-0340",
            "fax_number": "910-259-3013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 N HAMPSTEAD VILLAGE DR",
            "city": "HAMPSTEAD",
            "state": "NC",
            "postal_code": "284433932",
            "telephone_number": "910-803-0340",
            "fax_number": "910-803-0342"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "306 S Campbell St",
            "address_purpose": "LOCATION",
            "city": "Burgaw",
            "state": "NC",
            "postal_code": "284255010",
            "country_code": "US",
            "telephone_number": "910-259-3377",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 S Campbell St",
            "address_purpose": "LOCATION",
            "city": "Burgaw",
            "state": "NC",
            "postal_code": "284255011",
            "country_code": "US",
            "telephone_number": "910-259-5721",
            "fax_number": "910-259-8002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REZK",
        "first_name": "MOSTAFA",
        "middle_name": "MOHAMED",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-28",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2013-01240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampstead, NC

Sources for this page

Verify at the official NPI Registry.