Individual provider Active NPI

Mustafa Mohammad, M.D.

  • Dermatopathology Physician
  • Tampa, FL
National Provider Identifier
1598183659
Registry record updated Aug 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology PhysicianTaxonomy code 207ND0900X
License
273925 Issued in MA
Practice address
6001 Memorial Highway
Tampa, FL 33615
Phone
(813) 882-4206
NPI assigned
Apr 4, 2014
Last updated
Aug 12, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240517001075 FL Practitioner - Pathology 8224339403 Reassigns benefits to 1 organization

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
Michigan Pathology Specialists PCGroup PAC ID 4789576414, 31 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
ME140017FLMDDermatopathology Physician
273925MAMDDermatopathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Pathology Specialists PC CurrentSince Mar 2, 2024 Accepting new patients
Dermatology Associates of Tampa Bay, LLC Dermatopathology CurrentSince Aug 6, 2019 Accepting new patients
Gulf Coast Dermatopathology Laboratory, Inc. CurrentSince Oct 7, 2019 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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Sources for this page

Verify at the official NPI Registry.