Organization Active NPI

Mustapha Kibirige, MD, PA

  • Ophthalmology Physician
  • Houston, TX
National Provider Identifier
1730259268
Registry record updated May 25, 2010
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.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
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

Updated by the provider on May 25, 2010

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)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
112314304MedicaidTX
180483301MedicaidTX
0009JKOtherTXBCBS
101772504MedicaidTX
160150201MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Locations

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.

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

Verify at the official NPI Registry.