Active NPI
Muhanad A Mustafa, MD
- Gastroenterology Physician
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- ME115769
- Practice address
- 3000 Medical Park Drive
Suite 340
Tampa, FL 33613-4681 - Phone
- (813) 615-7028
- Fax
- (813) 615-8008
- NPI assigned
- Jul 3, 2006
- Last updated
- Dec 19, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ME87884 | FL | |
| Gastroenterology Physician | 207RG0100X | ME115769 | FL | Primary |
Addresses
Primary practice location
3000 Medical Park Drive
Suite 340
Tampa, FL 33613-4681
Mailing address
3000 Medical Park Drive
Suite 340
Tampa, FL 33613-4681
Phone (813) 615-7028
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| U1620Y | Other | FL | MEDICARE ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Hospital Physician Group Inc | Gastroenterology | Current | Accepting new patients |
| Tania Schwegel Sales PSYD. PA | Past | Accepting new patients |
Locations
13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260
3000 Medical Park Dr
Ste 340
Tampa, FL 33613
Phone (813) 467-4290
Organizations & group practices 2
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.
-
dba AdventHealth Medical Group
- Family Medicine Physician
- Tampa, FL
- NPI 1174955256
Gastroenterology
-
- Clinical Psychologist
- Clearwater, FL
- NPI 1730301565
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418947200000",
"number": "1457381022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 MEDICAL PARK DRIVE",
"address_2": "SUITE 340",
"city": "TAMPA",
"state": "FL",
"postal_code": "336134681",
"telephone_number": "813-615-7028",
"fax_number": "813-615-8008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 MEDICAL PARK DRIVE",
"address_2": "SUITE 340",
"city": "TAMPA",
"state": "FL",
"postal_code": "336134681",
"telephone_number": "813-615-7028",
"fax_number": "813-615-8008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUSTAFA",
"first_name": "MUHANAD",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-03",
"last_updated": "2014-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "FL",
"license": "ME87884",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "FL",
"license": "ME115769",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "U1620Y",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2014; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.