Mumtaz Mustapha, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

52501 Issued in MN

Practice address

420 Delaware St SE
Umn Dept. of Medicine, MMC 741
Minneapolis, MN 55455-0341

Phone

(612) 626-6403

NPI assigned

Feb 14, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Taj Mustapha Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: mmustapha39292@fairview.direct-ci.com

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335139200000",
    "number": "1467595983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 DELAWARE ST SE",
            "address_2": "UMN DEPT. OF MEDICINE, MMC 741",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554550341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 DELAWARE ST SE",
            "address_2": "UMN DEPT. OF MEDICINE, MMC 741",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554550341",
            "telephone_number": "612-626-6403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSTAPHA",
        "first_name": "MUMTAZ",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-14",
        "last_updated": "2012-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "52501",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MN",
            "license": "52501",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAJ",
            "last_name": "MUSTAPHA",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mustafa H Musse
• Salma A Musse
• Teagan Musselman
• Denise Casamento Musser, ACNS-BC
• Muhim Mohamed Mustafa
• Tandiwe Musukwa
• John Andrew Muthama, MD
• Sarah Muthoni
• Brian Kirti Muthyala, MD
• Mutnick Allergy & Asthma, L.L.C.

• Internal Medicine Physician in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Internal Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.