Active NPI
Mustapha Kibirige, MD, PA
- Ophthalmology Physician
- Houston, TX
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- BRCH SA exclusion effective Jun 26, 2023.
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- MUSTAPHA KIBIRIGE, MD, PA
- Practice address
- 2656 S Loop W
Houston, TX 77054-2664 - Phone
- (713) 838-9153
- Fax
- (713) 592-5574
- NPI assigned
- Nov 9, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mustapha Kibirige, M.D.
- Title
- Opathamology
- Phone
- (713) 532-7311
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | |||
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
2656 S Loop W
Houston, TX 77054-2664
Mailing address
PO Box 741126
Houston, TX 77274-1126
Phone (713) 838-9153
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 112314304 | Medicaid | TX | |
| 180483301 | Medicaid | TX | |
| 0009JK | Other | TX | BCBS |
| 101772504 | Medicaid | TX | |
| 160150201 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider DirectoryLocations
2656 S Loop W
Ste 320
Houston, TX 77054
Phone (713) 838-9153
2656 S Loop W
Houston, TX 77054
Phone (562) 334-7144
1475 FM 1960 Bypass Rd E
Ste 260
Humble, TX 77338
Phone (346) 616-5035
1475 FM 1960 Bypass Rd E
#260
Humble, TX 77338
Phone (346) 616-5035
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Houston, TX
- NPI 1861548851
-
- Optometrist
- Webster, TX
- NPI 1417923277
-
- Optometrist
- Houston, TX
- NPI 1003851452
-
- Optometrist
- Kingwood, TX
- NPI 1891863551
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163030400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1274745600000",
"number": "1730259268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 741126",
"city": "HOUSTON",
"state": "TX",
"postal_code": "772741126",
"telephone_number": "713-838-9153",
"fax_number": "713-592-5574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2656 S LOOP W",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770542664",
"telephone_number": "713-838-9153",
"fax_number": "713-592-5574"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MUSTAPHA KIBIRIGE, MD, PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-09",
"last_updated": "2010-05-25",
"status": "A",
"authorized_official_last_name": "KIBIRIGE",
"authorized_official_first_name": "MUSTAPHA",
"authorized_official_title_or_position": "OPATHAMOLOGY",
"authorized_official_telephone_number": "713-532-7311",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "112314304",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "180483301",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0009JK",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101772504",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "160150201",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.