Individual provider Active NPI

Loi'Y Hussein Mustafa, M.D.

  • Orthopaedic Surgery Physician
  • Lanham, MD
National Provider Identifier
1427214048
Registry record updated Dec 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
D0076287 Issued in MD
Practice address
7404 Executive PL
Ste 300B
Lanham, MD 20706-2268
Phone
(301) 599-9500
NPI assigned
Aug 3, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X D0076287 MD Primary

Addresses

Primary practice location

7404 Executive PL
Ste 300B
Lanham, MD 20706-2268

Mailing address

7404 Executive PL
Ste 300B
Lanham, MD 20706-2268
Phone (301) 599-9500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, DC, MD3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20121005000715 NC Practitioner - Orthopedic Surgery 4284883240 Reassigns benefits to 1 organization
I20130827000624 DC Practitioner - Orthopedic Surgery 4284883240 Reassigns benefits to 1 organization
I20200709000499 MD Practitioner - Orthopedic Surgery 4284883240 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Howard University College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Luminis Health Medical Group, LLCGroup PAC ID 2860447315, 540 clinicians
Vidant Medical Group LLCGroup PAC ID 0345343893, 986 clinicians

Practice addresses (Care Compare)

2191 Defense Hwy
Suite 201
Crofton, MD 21114-2469
Phone (410) 451-9091

2906 N Main St
Tarboro, NC 27886-1921
Phone (252) 823-7212

4000 Mitchellville Rd
Suite B116
Bowie, MD 20716-3143
Phone (301) 599-9500

4175 N Hanson Court
201 Luminis Health Breast Center of Bowie
Bowie, MD 20716-3181
Phone (443) 481-5300

4175 N Hanson CT
Bowie, MD 20716-3181

8116 Good Luck Rd
Lanham, MD 20706-3508

8118 Good Luck Rd
Lanham, MD 20706-3574
Phone (301) 552-8118

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement14
Knee replacement16
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0076287MDMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Luminis Health Medical Group, LLC CurrentSince Apr 1, 2020 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Jun 2, 2020 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Apr 1, 2020 Accepting new patients
Luminis Health Medical Group, LLC Current Accepting new patients
Luminis Health Medical Group, LLC Current Accepting new patients
Capital Orthopaedic Specialists LLC Orthopaedic Surgery Past Accepting new patients

Locations

2001 Medical Pkwy
Ofc
Annapolis, MD 21401
Phone (443) 481-1091

2001 Medical Pkwy
Annapolis, MD 21401
Phone (410) 280-5601

2003 Medical Pkwy
Ste 301
Annapolis, MD 21401
Phone (443) 481-3366

4175 N Hanson Ct
Ste 201
Bowie, MD 20716
Phone (443) 481-1199

2191 Defense Hwy
Ste 201
Crofton, MD 21114
Phone (410) 451-9091

8116 Good Luck Rd
Ste 200
Lanham, MD 20706
Phone (301) 552-4131

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 2

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": "1217721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419984000000",
    "number": "1427214048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7404 EXECUTIVE PL",
            "address_2": "STE 300B",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207062268",
            "telephone_number": "301-599-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7404 EXECUTIVE PL",
            "address_2": "STE 300B",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207062268",
            "telephone_number": "301-599-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSTAFA",
        "first_name": "LOI'Y",
        "middle_name": "HUSSEIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-03",
        "last_updated": "2014-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MD",
            "license": "D0076287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lanham, MD

Sources for this page

Verify at the official NPI Registry.