Active NPI
Moustafa S Shamma, M.D.
- General Practice Physician
- Lanham, MD
National Provider Identifier
1336149632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- D43690
- Practice address
- 8118 Good Luck Rd
Lanham, MD 20706-3574 - Phone
- (301) 552-8665
- NPI assigned
- Jul 28, 2005
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | D0043690 | MD | |
| Internal Medicine Physician | 207R00000X | D43690 | MD | |
| General Practice Physician | 208D00000X | D43690 | MD | Primary |
Addresses
Primary practice location
8118 Good Luck Rd
Lanham, MD 20706-3574
Mailing address
6400 Marlboro Pike
District Heights, MD 20747-2841
Phone (301) 736-7000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3481 N Beauregard St
Alexandria, VA 22302-1341
Phone (571) 290-3614
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0043690 | MD | MD | Emergency Medicine Physician |
| D43690 | MD | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Acute Care Services Alexandria LLC | Current | Accepting new patients | |
| Mid-Atlantic Critical Care Services,L.L.C. | Past | Accepting new patients | |
| Delphi Healthcare Partners of Maryland LLC | Past | Accepting new patients |
Locations
3481 N Beauregard St
Alexandria, VA 22302
Phone (571) 290-3614
Organizations & group practices 3
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.
-
- Urgent Care Clinic/Center
- Alexandria, VA
- NPI 1710578588
DC
-
- Surgery Physician
- Frederick, MD
- NPI 1699096776
-
- Critical Care Medicine (Internal Medicine) Physician
- Takoma Park, MD
- NPI 1164455853
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478822400000",
"number": "1336149632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6400 MARLBORO PIKE",
"city": "DISTRICT HEIGHTS",
"state": "MD",
"postal_code": "207472841",
"telephone_number": "301-736-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8118 GOOD LUCK RD",
"city": "LANHAM",
"state": "MD",
"postal_code": "207063574",
"telephone_number": "301-552-8665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAMMA",
"first_name": "MOUSTAFA",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-28",
"last_updated": "2016-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MD",
"license": "D0043690",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "D43690",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "MD",
"license": "D43690",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lanham, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2016; 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.