Individual provider Active NPI

Mahmoud H. Mustafa, MD

  • Internal Medicine Physician
  • Washington, DC
National Provider Identifier
1437118197
Registry record updated Oct 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD15650 Issued in DC
Practice address
2311 M St NW
Suite 401
Washington, DC 20037-1445
Phone
(202) 331-3338
Fax
(202) 223-9130
NPI assigned
Mar 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2015

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 MD15650 DC Primary

Addresses

Primary practice location

2311 M St NW
Suite 401
Washington, DC 20037-1445

Mailing address

2311 M St NW
Suite 401
Washington, DC 20037-1445
Phone (202) 331-3338

Other names 1

  • Mahmoud H. Mustafa, MD, Facp, PC Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA, 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
I20040712000595 DC Practitioner - Internal MedicinePractitioner - Hematology/Oncology 2466430897 Reassigns benefits to 1 organization
I20141222001693 VA Practitioner - Internal Medicine 2466430897 Reassigns benefits to 1 organization
I20150310000932 MD Practitioner - HematologyPractitioner - Internal Medicine 2466430897 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
George Washington University School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

2311 M St NW
Washington, DC 20037-1495
Phone (202) 331-3338

9470 Annapolis Rd
Suite 309
Lanham, MD 20706-3022
Phone (202) 832-1800

950 N Glebe Rd
Suite 700
Arlington, VA 22203-4173

Hospital & facility affiliations

  • Beebe Medical Center Hospital, Lewes, DE, CCN 080007

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD15650DCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Oct 28, 2014 Accepting new patients
Privia Medical Group, LLC Internal Medicine CurrentSince Oct 28, 2014 Accepting new patients
Mahmoud H Mustafa, MD, Facp, PC Internal Medicine CurrentSince May 1, 2003 Accepting new patients
Privia Pediatric Medical Group of Georgia LLC Past Accepting new patients
Nova Physician Wellness Center PLLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

2311 M St NW
Ste 401
Washington, DC 20037
Phone (202) 331-3338

133 Defense Hwy
Ste 112
Annapolis, MD 21401
Phone (410) 573-0140

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

11350 Pembrooke Sq
Ste 304
Waldorf, MD 20603
Phone (301) 856-2810

950 N Glebe Rd
Ste 4000
Arlington, VA 22203
Phone (301) 593-9011

950 N Glebe Rd
#4000
Arlington, VA 22203

8644 Sudley Rd
#220
Manassas, VA 20110

Interoperability endpoints

  • Direct secure messaging: mahmoud.mustafa.1@8042.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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 1

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": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445990400000",
    "number": "1437118197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2311 M ST NW",
            "address_2": "SUITE 401",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200371445",
            "telephone_number": "202-331-3338",
            "fax_number": "202-223-9130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 M ST NW",
            "address_2": "SUITE 401",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200371445",
            "telephone_number": "202-331-3338",
            "fax_number": "202-223-9130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSTAFA",
        "first_name": "MAHMOUD",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-21",
        "last_updated": "2015-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DC",
            "license": "MD15650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAHMOUD",
            "last_name": "MUSTAFA, MD, FACP, PC",
            "middle_name": "H.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.