Omar Hussein Salem El Mustafah, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

LL93437 Issued in SC

Practice address

96 Jonathan Lucas Street MSC 620 Suite 623-a
Charleston, SC 29425-0001

Phone

(843) 792-4538

Fax

(843) 792-8523

NPI assigned

Dec 4, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1733270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1477369551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 JONATHAN LUCAS STREET MSC 620 SUITE 623-A",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294250001",
            "telephone_number": "843-792-4538",
            "fax_number": "843-792-8523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 JONATHAN LUCAS STREET MSC 620 SUITE 623-A",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294250001",
            "telephone_number": "843-792-4538",
            "fax_number": "843-792-8523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EL MUSTAFAH",
        "first_name": "OMAR",
        "middle_name": "HUSSEIN SALEM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-12-04",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "SC",
            "license": "LL93437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chioma R Ekechukwu, MD
• Ijeoma Brittany Ekeke, DNP
• Meryle Jocelyn Eklund, M.D.
• Alaa Mohamed Saad Aly El Far, MD
• Ghida El Hout, MD
• Mohyeddine El Sayed, MD
• Awad El-Ashry, MD
• Ava Elasy
• Harriet Belding Eldredge-Hindy, MD
• Electronic Health Network, LLC

• Urology Physician in Charleston, SC
• Providers in Charleston, SC by specialty
• Urology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; 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.

Verify at the official NPI Registry.