Active NPI
Mohamado Musthaq, M.D.
- Psychiatry Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD062265L
- Practice address
- 520 N Columbus Blvd
Philadelphia, PA 19123-4226 - Phone
- (215) 923-8042
- Fax
- (215) 923-8064
- NPI assigned
- Jul 14, 2006
- Last updated
- Apr 18, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD062265L | PA | Primary |
Addresses
Primary practice location
520 N Columbus Blvd
Philadelphia, PA 19123-4226
Mailing address
505 Monticello LN
Plymouth Meeting, PA 19462-1275
Phone (484) 213-4712
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 568611-000 | Other | PA | MIS |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3300 Henry Ave
Unit 4
Philadelphia, PA 19129-1141
Phone (215) 475-3400
601 Roxbury Rd
Shippensburg, PA 17257-9302
Phone (888) 829-9974
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.2 of 100
- Quality
- 78.42
- Improvement activities
- 40
- Cost
- 70.24
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Uhs of Pennsylvania Inc | Psychiatry | Current | Accepting new patients |
| Uhs of Pennsylvania Inc | Psychiatry | Current | Accepting new patients |
| Eastern Pennsylvania Physician Alliance LLC | Current | Accepting new patients | |
| Haven Behavioral Services of Philadelphia, LLC | Current | Accepting new patients | |
| The Neuropsychiatric Group | Psychiatry | Past | Accepting new patients |
Locations
800 Park Way
Ste A
Broomall, PA 19008
Phone (215) 718-4350
2 Hospital Dr
Clarion, PA 16214
Phone (800) 253-4906
7170 Lafayette Ave
Ft Washington, PA 19034
Phone (215) 542-4343
722 E Butler Pike
Maple Glen, PA 19002
Phone (215) 643-7800
4641 E Roosevelt Blvd
Philadelphia, PA 19124
Phone (215) 831-4600
561 Fairthorne Ave
Philadelphia, PA 19128
Phone (215) 487-4000
601 Roxbury Rd
Shippensburg, PA 17257
Phone (717) 532-4217
3102 West End Ave
Ste 1000
Nashville, TN 37203
Organizations & group practices 5
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.
-
- Neurology Physician
- Clarion, PA
- NPI 1902440621
-
dba Haven Behavioral Hospital of Philadelphia
- Psychiatric Hospital
- Philadelphia, PA
- NPI 1912341629
-
- Psychiatry Physician
- Ambler, PA
- NPI 1225128192
-
dba Horsham Clinic
- Psychiatric Hospital
- Ambler, PA
- NPI 1295708832
Psychiatry
-
- Psychiatry Physician
- Jeffersonville, PA
- NPI 1033142104
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334707200000",
"number": "1831115559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 MONTICELLO LN",
"city": "PLYMOUTH MEETING",
"state": "PA",
"postal_code": "194621275",
"telephone_number": "484-213-4712",
"fax_number": "215-923-8064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 N COLUMBUS BLVD",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191234226",
"telephone_number": "215-923-8042",
"fax_number": "215-923-8064"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUSTHAQ",
"first_name": "MOHAMADO",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-14",
"last_updated": "2012-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PA",
"license": "MD062265L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIS",
"identifier": "568611-000",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2012; 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.