Individual provider Active NPI

Mustafa Abugideiri, MD

  • Radiation Oncology Physician
  • Wilmington, NC
National Provider Identifier
1730576455
Registry record updated Apr 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
202000782 Issued in NC
Practice address
1988 S 16TH St
Wilmington, NC 28401-6647
Phone
(910) 662-8440
Fax
(910) 251-8286
NPI assigned
Apr 21, 2015
Last updated
Apr 20, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 202000782 NC Primary

Addresses

Primary practice location

1988 S 16TH St
Wilmington, NC 28401-6647

Mailing address

1988 S 16TH St
Wilmington, NC 28401-6647
Phone (910) 662-8440

Other practice location 1

1365C Clifton Rd NE
Winship Cancer Institute
Atlanta, GA 30322-1013
Phone (404) 778-1900

Other practice location 2

2131 S 17th St
Wilmington, NC 28401-7407
Phone (910) 342-3004

Other practice location 3

545 Ocean Hwy W
Supply, NC 28462-4047
Phone (910) 253-3380

Other practice location 4

500 Jefferson St
Whiteville, NC 28472-3634
Phone (910) 641-8220

Other practice location 5

1988A S 16th St
Wilmington, NC 28401-6647
Phone (910) 662-8440

Other practice location 6

1988B S 16th St
Wilmington, NC 28401-6647
Phone (910) 662-8440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, DC, VA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20200713003572 NC Practitioner - Radiation Oncology 5698071504 Reassigns benefits to 1 organization
I20240514000926 DC Practitioner - Radiation Oncology 5698071504 Reassigns benefits to 1 organization
I20240522000179 VA Practitioner - Radiation Oncology 5698071504 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
George Washington University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Radiation Oncology Associates PCGroup PAC ID 1254302359, 22 clinicians

Practice addresses (Care Compare)

44035 Riverside Pkwy
Suite 100
Leesburg, VA 20176-8274
Phone (703) 858-8850

8081 Innovation Park Dr
Fairfax, VA 22031-4867
Phone (571) 472-0606

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Merit-based Incentive Payment System (MIPS)

Final score
80.82 of 100Reported as group
Quality
76.08
Promoting interoperability
100
Improvement activities
40
Cost
59.98

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
202000782NCMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiation Oncology Associates, PC Radiation Oncology CurrentSince Jul 1, 2024 Accepting new patients
Coastal Carolina Radiation Oncology, PLLC CurrentSince Sep 6, 2020 Accepting new patients
Novant Health New Hanover Regional Medical Center LLC Past Accepting new patients
New Hanover Regional Medical Center PastSince Jun 1, 2020 Accepting new patients

Locations

200 Queens Rd
Ste 400
Charlotte, NC 28204
Phone (704) 765-2578

545 Ocean Hwy W
Supply, NC 28462
Phone (910) 253-3380

500 Jefferson St
Whiteville, NC 28472
Phone (910) 642-1776

1988 S 16th St
Wilmington, NC 28401
Phone (910) 251-1839

1988 S 16th St
#A
Wilmington, NC 28401
Phone (910) 662-8440

1988 S 16th St
#B
Wilmington, NC 28401
Phone (910) 662-8440

2131 S 17th St
Wilmington, NC 28401
Phone (910) 342-3000

4320 Seminary Rd
Alexandria, VA 22304
Phone (703) 504-3000

3580 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-2450

8081 Innovation Park Dr
Fairfax, VA 22031
Phone (571) 472-0606

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

44035 Riverside Pkwy
Ste 100
Leesburg, VA 20176
Phone (703) 858-8850

2280 Opitz Blvd
Ste 120
Woodbridge, VA 22191
Phone (703) 580-5160

Interoperability endpoints

  • Direct secure messaging: mabugideiri@crhn.cernerdirect.com
  • Direct secure messaging: mabugideiri1242248@direct.novanthealth.org

Organizations & group practices 4

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 7

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": "1429574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618876800000",
    "number": "1730576455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1988 S 16TH ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284016647",
            "telephone_number": "910-662-8440",
            "fax_number": "910-251-8286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1988 S 16TH ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284016647",
            "telephone_number": "910-662-8440",
            "fax_number": "910-251-8286"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1365C Clifton Rd NE",
            "address_2": "Winship Cancer Institute",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303221013",
            "country_code": "US",
            "telephone_number": "404-778-1900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2131 S 17th St",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284017407",
            "country_code": "US",
            "telephone_number": "910-342-3004",
            "fax_number": "910-342-3097",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "545 Ocean Hwy W",
            "address_purpose": "LOCATION",
            "city": "Supply",
            "state": "NC",
            "postal_code": "284624047",
            "country_code": "US",
            "telephone_number": "910-253-3380",
            "fax_number": "910-754-4530",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Jefferson St",
            "address_purpose": "LOCATION",
            "city": "Whiteville",
            "state": "NC",
            "postal_code": "284723634",
            "country_code": "US",
            "telephone_number": "910-641-8220",
            "fax_number": "910-641-8226",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1988A S 16th St",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284016647",
            "country_code": "US",
            "telephone_number": "910-662-8440",
            "fax_number": "910-251-8286",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1988B S 16th St",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284016647",
            "country_code": "US",
            "telephone_number": "910-662-8440",
            "fax_number": "910-251-8286",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABUGIDEIRI",
        "first_name": "MUSTAFA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-21",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NC",
            "license": "202000782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.