Individual provider Active NPI

Mustafa Syed Abdul-Moheeth, MD

  • Internal Medicine Physician
  • Austin, TX
National Provider Identifier
1396301289
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
T6803 Issued in TX
Practice address
2806 Real St
Austin, TX 78722-1715
Phone
(512) 474-1411
NPI assigned
May 15, 2019
Last updated
Jun 30, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X T6803 TX Primary

Addresses

Primary practice location

2806 Real St
Austin, TX 78722-1715

Mailing address

1111 E Cesar Chavez St
Austin, TX 78702-4209

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20220808003067 TX Practitioner - Internal Medicine 3870975873 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Seton Family of Doctors CurrentSince Aug 1, 2022 Accepting new patients
Seton Family of Doctors Internal Medicine CurrentSince Aug 1, 2022 Accepting new patients
Travis County Healthcare District Internal Medicine CurrentSince Apr 1, 2025 Accepting new patients
Community Care Collaborative PastSince Oct 13, 2024 Accepting new patients

Locations

1111 E Cesar Chavez St
Austin, TX 78702
Phone (512) 978-8000

1400 N Interstate 35
Ste 300
Austin, TX 78701
Phone (512) 324-8300

1500 Red River St
Austin, TX 78701
Phone (512) 324-0150

2806 Real St
Austin, TX 78722
Phone (512) 326-1141

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.

NPI Registry JSON

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

{
    "created_epoch": "1557878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1396301289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 E CESAR CHAVEZ ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787024209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2806 REAL ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787221715",
            "telephone_number": "512-474-1411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDUL-MOHEETH",
        "first_name": "MUSTAFA",
        "middle_name": "SYED",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-15",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "T6803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.