Individual provider Active NPI

Mohamed Mostafa

  • Neurocritical Care Physician
  • Houston, TX
National Provider Identifier
1851173876
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurocritical Care PhysicianTaxonomy code 2084A2900X
License
BP10082259 Issued in TX
Practice address
7675 Phoenix Dr Apt 442
Houston, TX 77030-4709
Phone
(346) 221-3551
NPI assigned
Oct 16, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurocritical Care Physician 2084A2900X BP10082259 TX Primary

Addresses

Primary practice location

7675 Phoenix Dr Apt 442
Houston, TX 77030-4709

Mailing address

7675 Phoenix Dr Apt 442
Houston, TX 77030-4709

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20250716001246 LA Order and Referring Only - NeurologyPractitioner - Neurology 5597270777

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
BP10082259TXMDNeurocritical Care Physician

NPI Registry JSON

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

{
    "created_epoch": "1697414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1851173876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7675 PHOENIX DR APT 442",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770304709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7675 PHOENIX DR APT 442",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770304709",
            "telephone_number": "346-221-3551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSTAFA",
        "first_name": "MOHAMED",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-16",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084A2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurocritical Care",
            "state": "TX",
            "license": "BP10082259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.