Syed Kamal Mustafa, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD00039314 Issued in WA

Practice address

10634 E Riverside Dr Ste 110
Bothell, WA 98011-3751

Phone

(425) 806-5021

NPI assigned

Aug 1, 2006

Last updated

Dec 30, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

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

Specialty

PsychiatryAlso: Addiction Medicine

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

BHC Fairfax Hospital IncGroup PAC ID 1153231857, 32 clinicians

Puget Sound Psychiatric Center PSGroup PAC ID 4688766066, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

83.24 of 100Reported as group

Quality

76.66

Improvement activities

40

Cost

70.27

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• BHC Fairfax Hospital Inc.

  dba Fairfax Physician Group

  • Psychiatry Physician
  • Kirkland, WA
  • NPI 1104959097
  Medicare reassignment Care Compare group NPD
• Puget Sound Psychiatric Center, PS

  dba PSPC

  • Psychiatry Physician
  • Bothell, WA
  • NPI 1114254729
  Medicare reassignment Care Compare group NPD
• Compass Health

  • Community/Behavioral Health Agency
  • Everett, WA
  • NPI 1730136201
  Medicare reassignment NPD
• BHC Fairfax Hospital Inc

  • Psychiatric Hospital
  • Kirkland, WA
  • NPI 1053327890
  NPD (past)

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325203200000",
    "number": "1316954894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4247",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980094247",
            "telephone_number": "425-488-7367",
            "fax_number": "425-488-8516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10634 E RIVERSIDE DR STE 110",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980113751",
            "telephone_number": "425-806-5021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSTAFA",
        "first_name": "SYED",
        "middle_name": "KAMAL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2011-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "MD00039314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1113067",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Faye Murphy, MD
• Debra Murphy, RN
• Murray a Beighton (Twilight Years Geriatric Care)
• Luanne Mignon Murro-Te, LPN
• Syed Jamal Mustafa, M.D.
• Aaron Mustain
• David Myaskovsky, D.D.S
• Andrea S Myers
• Blake M Myers, ND
• Kimberly Kay Myers

• Psychiatry Physician in Bothell, WA
• Providers in Bothell, WA by specialty
• Psychiatry Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2011; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.