Individual provider Active NPI

Mustapha Shayegan, M.D.

  • Ophthalmology Physician
  • Phila, PA
National Provider Identifier
1780653139
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD036243L Issued in PA
Practice address
8118 Bustleton Ave
Phila, PA 19152-2803
Phone
(215) 342-8118
Fax
(215) 725-4999
NPI assigned
Mar 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD036243L PA Primary

Addresses

Primary practice location

8118 Bustleton Ave
Phila, PA 19152-2803

Mailing address

8118 Bustleton Ave
Phila, PA 19152-2803
Phone (215) 342-8118

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20110607000404 PA Practitioner - Ophthalmology 5890784094 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Hahnemann University College of Medicine, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Surgical Medical Associates PCGroup PAC ID 1557347259, 3 clinicians

Practice addresses (Care Compare)

8118 Bustleton Ave
Philadelphia, PA 19152-2803
Phone (215) 342-8118

Merit-based Incentive Payment System (MIPS)

Final score
93.31 of 100Reported as group
Quality
95.69
Improvement activities
40
Cost
76.4

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD036243LPAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Surgical Medical Associates PC Ophthalmology CurrentSince Jan 25, 1980 Accepting new patients

Locations

8118 Bustleton Ave
Philadelphia, PA 19152
Phone (215) 342-8118

210 E Street Rd
Ste 3C
Trevose, PA 19053
Phone (215) 342-8118

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: m.shayegan@direct.eyesurgicalmedical.nextgenshare.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1780653139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8118 BUSTLETON AVE",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191522803",
            "telephone_number": "215-342-8118",
            "fax_number": "215-725-4999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8118 BUSTLETON AVE",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191522803",
            "telephone_number": "215-342-8118",
            "fax_number": "215-725-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAYEGAN",
        "first_name": "MUSTAPHA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD036243L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phila, PA

Sources for this page

Verify at the official NPI Registry.