Tamer Suhail Mustafa, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036.162374 Issued in IL

Practice address

9200 Calumet Ave
Munster, IN 46321-2885

Phone

(219) 806-6585

NPI assigned

Apr 14, 2019

Sex

Male

Sole proprietor

No

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 IN, IL2 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 2

Specialty

Family Practice

Education

At Still Un of HLTH Sciences, Col of Osteo Med, Mesa, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Home Physicians LLCGroup PAC ID 4981988771, 81 clinicians

Rush University Medical GroupGroup PAC ID 5496658874, 1,521 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Resilience Home Health, LLC Home health agency, Aurora, IL, CCN 147998
• Dunes Hospice LLC Hospice, Valparaiso, IN, CCN 151614
• Angels Grace Hospice Hospice, Bolingbrook, IL, CCN 141644
• Saint Anthony Nursing home, Crown Point, IN, CCN 155214
• Beecher Manor NRSG & Rehab Ctr Nursing home, Beecher, IL, CCN 145538
• Ignite Medical Resort Dyer LLC Nursing home, Dyer, IN, CCN 155840
• St James Wellness Rehab Villas Nursing home, Crete, IL, CCN 145611
• Crown Point Health Campus Nursing home, Crown Point, IN, CCN 155637

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Community Home Physicians, LLC

  • Physical Medicine & Rehabilitation Physician
  • Oakbrook Terrace, IL
  • NPI 1568909505

  Family Medicine, IL, IN

  Medicare reassignment Care Compare group NPD
• Rush University Medical Group

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1093819542

  Family Medicine, IN

  Medicare reassignment Care Compare group NPD
• Elmhurst Memorial Healthcare

  • Multi-Specialty Clinic/Center
  • Elmhurst, IL
  • NPI 1457493454
  NPD (past)
• The SNF Group, PLLC

  • Physical Medicine & Rehabilitation Physician
  • Charlotte, NC
  • NPI 1750802344

  Family Medicine

  NPD (past)

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

• Dunes Hospice LLC

  • Community Based Hospice Care Agency
  • Valparaiso, IN
  • NPI 1609280015

  Hospice

  Care Compare affiliation
• Ignite Medical Resort Dyer, LLC

  • Skilled Nursing Facility
  • Dyer, IN
  • NPI 1427834597

  Nursing home

  Care Compare affiliation
• Jackson County Schneck Memorial Hospital

  • Skilled Nursing Facility
  • Crown Point, IN
  • NPI 1558604074

  Nursing home

  Care Compare affiliation
• Pulaski Memorial Hospital

  • Skilled Nursing Facility
  • Crown Point, IN
  • NPI 1023013455

  Nursing home

  Care Compare affiliation
• Angels Grace Hospice, LLC

  • Community Based Hospice Care Agency
  • Bolingbrook, IL
  • NPI 1962782995

  Hospice

  Care Compare affiliation
• Beecher Manor Nursing and Rehabilitation Center, LLC

  • Skilled Nursing Facility
  • Beecher, IL
  • NPI 1285750992

  Nursing home

  Care Compare affiliation
• Resilience Home Health, LLC

  • Home Health Agency
  • Aurora, IL
  • NPI 1912107517
  Care Compare affiliation
• St James Wellness Rehab and Villas LLC

  • Skilled Nursing Facility
  • Crete, IL
  • NPI 1740608736

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1555200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678320000000",
    "number": "1760045900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 CALUMET AVE",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212885",
            "telephone_number": "219-806-6585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 CALUMET AVE",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212885",
            "telephone_number": "219-806-6585"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20201 S. Crawford Ave",
            "address_purpose": "LOCATION",
            "city": "Olympia Fields",
            "state": "IL",
            "postal_code": "604611010",
            "country_code": "US",
            "telephone_number": "708-747-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUSTAFA",
        "first_name": "TAMER",
        "middle_name": "SUHAIL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-14",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036.162374",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Munster Urgent Care Inc
• Munster Urololgical Associates, LLC
• Darion J Murchison-Roseman, CRNA
• Elena Muro, PA-C
• Maher Musleh, DO
• Mycare Express Pharmacy, LLC
• Myeyedr Optometry of Indiana, LLC
• Nirmal Nair, MD
• Farah Najamuddin, M.D.
• Agnieszka Najger, PHARMD

• Family Medicine Physician in Munster, IN
• Providers in Munster, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; 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.