Amr Soliman Moustafa, M.D., PH.D.,

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

T5995 Issued in TX

Practice address

4301 W. Markham Street
Slot 556
Little Rock, AR 72205-7199

Phone

(501) 686-5356

NPI assigned

Apr 4, 2016

Last updated

May 18, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Diagnostic Radiology

Education

Other, 2005

Medicare assignment

May accept Medicare assignment

Group practices

North Star FP LPGroup PAC ID 6800168576, 49 clinicians

North Star Diagnostic Imaging LLCGroup PAC ID 8729118021, 69 clinicians

North Star NPT LPGroup PAC ID 8426468265, 40 clinicians

Radiology Associates of North Texas PAGroup PAC ID 7911897301, 340 clinicians

North Star MRI of Frisco LPGroup PAC ID 2769574854, 72 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Texas Health Presbyterian Hospital Dallas Hospital, Dallas, TX, CCN 450462
• North Central Surgical Center LLP Hospital, Dallas, TX, CCN 670049
• Texas Health Harris Methodist Fort Worth Hospital, Fort Worth, TX, CCN 450135
• Methodist Hospital for Surgery Hospital, Addison, TX, CCN 670073
• Texas Health Presbyterian Hospital Kaufman Hospital, Kaufman, TX, CCN 450292

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: amoustafa843833@direct.hopkinsmedicine.org

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.

• North Star Diagnostic Imaging, LLC

  • Radiology Clinic/Center
  • Plano, TX
  • NPI 1467787739

  Single Specialty

  Medicare reassignment Care Compare group NPD
• North Star FP, LP

  dba North Star Diagnostic Imaging

  • Radiology Clinic/Center
  • Dallas, TX
  • NPI 1033630835

  Single Specialty

  Medicare reassignment Care Compare group NPD
• North Star MRI of Frisco LP

  • Radiology Clinic/Center
  • Frisco, TX
  • NPI 1649356759

  Single Specialty

  Medicare reassignment Care Compare group NPD
• North Star NPT LP

  dba North Star Diagnostic Imaging

  • Radiology Clinic/Center
  • Plano, TX
  • NPI 1699387647

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Radiology Associates of North Texas PA

  • Diagnostic Radiology Physician
  • Fort Worth, TX
  • NPI 1710970975

  Single Specialty

  Medicare reassignment Care Compare group NPD
• North Star CN, LP

  dba North Star Diagnostic Imaging

  • Radiology Clinic/Center
  • Carrollton, TX
  • NPI 1013305945

  Single Specialty

  Medicare reassignment NPD
• North Star GV, LP

  dba North Star Diagnostic Imaging

  • Radiology Clinic/Center
  • Grapevine, TX
  • NPI 1922512664

  Single Specialty

  Medicare reassignment NPD
• North Star MCD, LLC

  dba North Stat Diagnostic Imaging

  • Radiology Clinic/Center
  • Plano, TX
  • NPI 1295496602

  Single Specialty

  Medicare reassignment NPD
• North Star MRI LP

  dba North Star Diagnostic Imaging

  • Radiology Clinic/Center
  • Allen, TX
  • NPI 1033174701

  Single Specialty

  Medicare reassignment NPD
• Huron Valley Radiology PC

  • Diagnostic Radiology Physician
  • Ypsilanti, MI
  • NPI 1659398519

  TX

  Medicare reassignment
• X-Ray Consultants Inc

  • Diagnostic Radiology Physician
  • South Bend, IN
  • NPI 1770536815

  TX

  Medicare reassignment
• Akumin Imaging Texas LLC

  • Radiology Clinic/Center
  • El Paso, TX
  • NPI 1235771205
  NPD

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

• Metdalspi, LLC

  dba Methodist Hospital for Surgery

  • General Acute Care Hospital
  • Addison, TX
  • NPI 1023338142
  Care Compare affiliation
• North Central Surgical Center L.L.P.

  • General Acute Care Hospital
  • Dallas, TX
  • NPI 1548236524
  Care Compare affiliation
• Texas Health Harris Methodist Hospital Fort Worth

  • General Acute Care Hospital
  • Fort Worth, TX
  • NPI 1336172105
  Care Compare affiliation
• Texas Health Presbyterian Hospital Dallas

  • General Acute Care Hospital
  • Dallas, TX
  • NPI 1396779948
  Care Compare affiliation
• Texas Health Presbyterian Hospital Kaufman

  • General Acute Care Hospital
  • Kaufman, TX
  • NPI 1457382798
  Care Compare affiliation

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

{
    "created_epoch": "1459728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1629431895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 W CANNON ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043194",
            "telephone_number": "817-321-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 W. MARKHAM STREET",
            "address_2": "SLOT 556",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722057199",
            "telephone_number": "501-686-5356"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "815 Pennsylvania Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761042294",
            "country_code": "US",
            "telephone_number": "817-321-0404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOUSTAFA",
        "first_name": "AMR",
        "middle_name": "SOLIMAN",
        "credential": "M.D., PH.D.,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-04",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "T5995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jon Etienne Mourot, PH.D.
• Mohammed Mahmoud Moursi, MD
• Nasreen Amal Moursi, MS
• Heba Mousa, MD
• Angela Rose Moussa, RD
• Khadijah Adel Hassan Mahmoud Moustafa
• Dean M Moutos, MD
• Movement Chiropractic West Little Rock PLLC
• Hamsini Movva, MBBS
• Jessica Mowafy

• Diagnostic Radiology Physician in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Diagnostic Radiology Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; 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.

Verify at the official NPI Registry.