Individual provider Active NPI

Mustafa Rayaz, D.O.

  • Internal Medicine Physician
  • Dallas, TX
National Provider Identifier
1558744128
Registry record updated Aug 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
S9211 Issued in TX
Practice address
4500 S Lancaster Rd
Dallas, TX 75216-7167
Phone
(214) 742-8387
NPI assigned
Jul 1, 2015
Last updated
Aug 25, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X E-11557 AR
Internal Medicine Physician 207R00000X 34.013971 OH
Internal Medicine Physician 207R00000X 0116028050 VA
Internal Medicine Physician 207R00000X S9211 TX Primary

Addresses

Primary practice location

4500 S Lancaster Rd
Dallas, TX 75216-7167

Mailing address

801 International Pkwy Ste 550
#310
Flower Mound, TX 75022-4287
Phone (832) 377-7630

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, OH, TX3 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
I20181206001158 AR Practitioner - Internal MedicinePractitioner - Addiction Medicine 3870841018 Reassigns benefits to 5 organizations
I20200218003243 OH Practitioner - Internal Medicine 3870841018 Reassigns benefits to 1 organization
I20210920003095 TX Practitioner - Internal Medicine 3870841018 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34.013971OHMDInternal Medicine Physician
0116028050VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Q Day Walk in Clinic and Spa, LLC Internal Medicine CurrentSince Sep 1, 2021 Accepting new patients
Primary Care 360 CurrentSince Dec 8, 2019 Accepting new patients
Correct Care, Inc. CurrentSince Feb 27, 2020 Accepting new patients
Mvhe Inc Internal Medicine CurrentSince Mar 1, 2020 Accepting new patients
Arkansas Pain Care Clinics, PA CurrentSince Sep 15, 2018 Accepting new patients
Mvhe Inc Internal Medicine CurrentSince Mar 1, 2020 Accepting new patients
BHG L, LLC CurrentSince Feb 1, 2020 Accepting new patients
American Hope and Health Clinic Associates LLC Internal Medicine CurrentSince Jan 1, 2021 Accepting new patients
BHG L, LLC CurrentSince Feb 1, 2020 Accepting new patients
Mvhe Inc Internal Medicine Current Accepting new patients
BHG L, LLC Current Accepting new patients
Arkansas Pain Care Clinics, PA Internal Medicine CurrentSince Sep 15, 2018 Accepting new patients
Metro Treatment of Texas LP CurrentSince Dec 17, 2021 Accepting new patients
BHG L, LLC Past Accepting new patients
Concertohealth of Ohio LLC Past Accepting new patients
BHG L, LLC Past Accepting new patients
BHG L, LLC Past Accepting new patients
BHG L, LLC Past Accepting new patients
BHG L, LLC Past Accepting new patients

Locations

451 W Locke St
Ashdown, AR 71822
Phone (870) 265-5351

255 E College St
Batesville, AR 72501
Phone (870) 569-9862

1058 Front St
Ste 104
Conway, AR 72032
Phone (501) 504-2092

82 W Sunbridge Dr
Fayetteville, AR 72703
Phone (479) 282-2992

1501 S Waldron Rd
Ste 203
Fort Smith, AR 72903
Phone (479) 769-2880

1 Mercy Ln
Ste 403
Hot Springs National Park, AR 71913
Phone (501) 319-7963

5510 Southwest Dr
Ste 8
Jonesboro, AR 72404
Phone (870) 520-6313

300 S Shackleford Rd
Ste B
Little Rock, AR 72211
Phone (501) 918-9192

100 Shadow Oaks Dr
Sherwood, AR 72120
Phone (501) 918-9192

7481 Warden Rd
Sherwood, AR 72120
Phone (501) 588-4164

2231 Trinity Blvd
Texarkana, AR 71854
Phone (870) 330-3210

229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225

2451 Wayne Ave
Dayton, OH 45420
Phone (937) 252-1831

5001 Spring Vly
Ste 600E
Dallas, TX 75244

3560 E Park Blvd
Plano, TX 75074
Phone (972) 424-0579

Organizations & group practices 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1435708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692921600000",
    "number": "1558744128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 INTERNATIONAL PKWY STE 550",
            "address_2": "#310",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750224287",
            "telephone_number": "832-377-7630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 S LANCASTER RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752167167",
            "telephone_number": "214-742-8387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYAZ",
        "first_name": "MUSTAFA",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-01",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "E-11557",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "34.013971",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0116028050",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "S9211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.