NPIMap

Individual provider Active NPI

Usman Mustafa, MD

  • Interventional Cardiology Physician
  • Shreveport, LA
National Provider Identifier
1881945236
Registry record updated Aug 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
306576 Issued in LA
Practice address
1541 Kings Hwy
Shreveport, LA 71103-4228
Phone
(318) 626-0000
Fax
(318) 629-4833
NPI assigned
Sep 25, 2012
Last updated
Aug 11, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 306576 LA
Cardiovascular Disease Physician 207RC0000X 306576 LA
Interventional Cardiology Physician 207RI0011X 306576 LA Primary

Addresses

Primary practice location

1541 Kings Hwy
Shreveport, LA 71103-4228

Mailing address

1512 W Kirby PL
Shreveport, LA 71103-3822

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, LA, TX3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20150630001575 IL Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 0244542512
I20170809002968 LA Practitioner - Internal Medicine 0244542512 Reassigns benefits to 1 organization
I20250411002103 TX Practitioner - Cardiovascular Disease (Cardiology) 0244542512 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
TMH Physician Associates PLLCGroup PAC ID 4486711744, 1,881 clinicians
Houston Methodist Specialty PhysiciansGroup PAC ID 5193239796, 1,498 clinicians

Practice addresses (Care Compare)

18300 Houston Methodist Dr
Houston, TX 77058-6302
Phone (281) 333-5503

2020 Nasa Pkwy
230 Tmhpo Ortho Dept
Houston, TX 77058-3683
Phone (713) 363-9090

2020 Nasa Pkwy
Suite 275
Houston, TX 77058-3878
Phone (281) 737-1533

4710 Bellaire Blvd
Bellaire, TX 77401-4505
Phone (713) 363-9411

6445 Main St
Suite 2500
Houston, TX 77030-1502
Phone (713) 441-3150

6565 Fannin St
Houston, TX 77030-2703

7575 San Felipe St
Suite 155
Houston, TX 77063-1777
Phone (713) 266-9955

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
306576LAMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lsu Health Sciences Center Shreveport Faculty Group Practice Internal Medicine CurrentSince Jul 1, 2017 Accepting new patients
TMH Physician Associates PLLC CurrentSince Mar 3, 2025 Accepting new patients
TMH Physician Associates PLLC Internal Medicine CurrentSince Mar 3, 2025 Accepting new patients
TMH Physician Associates PLLC Past Accepting new patients
University Health Shreveport LLC Past Accepting new patients

Locations

1501 Kings Hwy
Rm 1201
Shreveport, LA 71103
Phone (318) 675-4881

1512 W Kirby Pl
Shreveport, LA 71103
Phone (318) 626-0177

1541 Kings Hwy
Shreveport, LA 71103
Phone (318) 626-0287

1606 Kings Hwy
Shreveport, LA 71103
Phone (318) 675-6402

2020 Nasa Pkwy
Ste 275
Houston, TX 77058
Phone (281) 523-3240

7575 San Felipe St
Ste 155
Houston, TX 77063
Phone (713) 266-9955

Interoperability endpoints

  • Direct secure messaging: umustafa584533@directhoustonmethodist.org

Organizations & group practices 6

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 10

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": "1348531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1881945236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 W KIRBY PL",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711033822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1541 KINGS HWY",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711034228",
            "telephone_number": "318-626-0000",
            "fax_number": "318-629-4833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSTAFA",
        "first_name": "USMAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-25",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "306576",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "LA",
            "license": "306576",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "LA",
            "license": "306576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.