Ahmad Ghassan Mustafa Abutaka, MBBS
Individual provider Active NPI Surgery Physician · Rochester, MN
NPI 1689253247 · NPPES record last updated Sep 23, 2024
Key facts
- NPI
- 1689253247
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- 72306 (MN)
- Practice address
- 200 1St St SW
Rochester, MN 55905-0001 - Phone
- (507) 284-2511
- NPI assigned
- Apr 2, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- General Surgery
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mayo Clinic
Practice addresses (Care Compare)
200 1St St SW
Rochester, MN 55905-0001
Phone (507) 284-2511
Hospital & facility affiliations
- Mayo Clinic Hospital Rochester
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 96.51
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 11 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230510000310 | MN | Practitioner - General Surgery |
1951702208 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31648 | MN | MD | Social Worker |
| 72306 | MN | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mayo Clinic | Current |
Accepting new patients | |
| Mayo Clinic | Current |
Accepting new patients | |
| Mayo Clinic | Current | Accepting new patients | |
| Mayo Clinic Hospital-Rochester | Past | Accepting new patients |
Locations
200 1st St SW
Rochester, MN 55905
Phone (507) 266-4850
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 72306 | MN | Yes |
Addresses
Primary practice location
200 1St St SW
Rochester, MN 55905-0001
Mailing address
200 1St St SW
Rochester, MN 55905-0001
Phone (507) 284-2511
Other practice location 1
420 Delaware Street SE, MMC 195
Minneapolis, MN 55455
Phone (612) 301-9433
Other practice location 2
640 Jackson St
Saint Paul, MN 55101-2502
Phone (651) 495-6600
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | aabutaka2250566@ehrdirect.mayoclinicmsg.org |
Other providers in Rochester, MN
- Safia Abu
- Zakiya Hamza Abu
- Ibrahim Yusuf Abubeker
- Muna R Abudayyeh
- Kholood Abdelmutie Abuhadid
- Hajer Abuzir
- Maria Fernanda Acevedo
- Achievement Therapy Services LLC
- Christopher Thomas Acker
- Claire Ackerman
All providers in Rochester, MN · Surgery Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 23, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.