Active NPI
Mustafa Mohammad, M.D.
- Dermatopathology Physician
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatopathology Physician
- License
- 273925
- Practice address
- 6001 Memorial Highway
Tampa, FL 33615 - Phone
- (813) 882-4206
- NPI assigned
- Apr 4, 2014
- Last updated
- Aug 12, 2019
- 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 |
|---|---|---|---|---|
| Dermatopathology Physician | 207ND0900X | ME140017 | FL | |
| Dermatopathology Physician | 207ND0900X | 273925 | MA | Primary |
Addresses
Primary practice location
6001 Memorial Highway
Tampa, FL 33615
Mailing address
6001 Memorial Highway
Tampa, FL 33615-2618
Phone (813) 882-4206
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Tufts University School of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2442 W Mississippi Ave
Unit 2
Tampa, FL 33629-6100
Phone (800) 475-6236
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.98 of 100
- Quality
- 91.31
- Improvement activities
- 40
- Cost
- 79.05
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME140017 | FL | MD | Dermatopathology Physician |
| 273925 | MA | MD | Dermatopathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michigan Pathology Specialists PC | Current | Accepting new patients | |
| Dermatology Associates of Tampa Bay, LLC | Dermatopathology | Current | Accepting new patients |
| Gulf Coast Dermatopathology Laboratory, Inc. | Current | Accepting new patients |
Locations
6001 Memorial Hwy
Tampa, FL 33615
Phone (813) 882-4206
418 Washington St
Lakeview, MI 48850
Phone (989) 352-6474
Organizations & group practices 3
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Grand Rapids, MI
- NPI 1033193875
FL
-
- Dermatopathology Physician
- Tampa, FL
- NPI 1649284563
-
- Clinical Medical Laboratory
- Tampa, FL
- NPI 1982693818
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Corewell Health Pennock Hospital
- Critical Access Hospital
- Hastings, MI
- NPI 1932695525
-
dba Mercy Health Saint Mary's
- General Acute Care Hospital
- Grand Rapids, MI
- NPI 1639111057
-
dba Corewell Health Grand Rapids Hospital
- General Acute Care Hospital
- Grand Rapids, MI
- NPI 1922090554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565568000000",
"number": "1598183659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6001 MEMORIAL HIGHWAY",
"city": "TAMPA",
"state": "FL",
"postal_code": "336152618",
"telephone_number": "813-882-4206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6001 MEMORIAL HIGHWAY",
"city": "TAMPA",
"state": "FL",
"postal_code": "33615",
"telephone_number": "813-882-4206"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOHAMMAD",
"first_name": "MUSTAFA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-04",
"last_updated": "2019-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "207ND0900X",
"taxonomy_group": "",
"desc": "Dermatology, Dermatopathology",
"state": "FL",
"license": "ME140017",
"primary": false
},
{
"code": "207ND0900X",
"taxonomy_group": "",
"desc": "Dermatology, Dermatopathology",
"state": "MA",
"license": "273925",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
- Mohamed E Sharaby PLLC (Bay Area Eye Surgery Institute)
- Ahmed Wael Abdelhalim Mohamed Zatar
- Ayman Khalafalla Ali Mohamed, MD
- Hythum Salah Hassan Mohamed, M.D
- Youssef Mohamed, MD, PHD
- Zaid M Mohammad
- Mohammed a Ali MD PA (Brookshire Rheumatology and Wellness Center)
- Andy Mohammed
- Crisan Mohammed
- Mahad Mohammed, DO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.