NPIMap

Individual provider Active NPI

Mustapha El Lakis

  • Surgery Physician
  • Seneca, PA
National Provider Identifier
1912498304
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
LT000361 Issued in PA
Practice address
100 Fairfield Drive
Seneca, PA 16346
Phone
(616) 990-6358
NPI assigned
May 22, 2018
Last updated
Jul 11, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X LT000361 PA Primary

Addresses

Primary practice location

100 Fairfield Drive
Seneca, PA 16346

Mailing address

1250 McCormick St
Carol Stream, IL 60188-1382
Phone (616) 990-6358

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mustapha.ellakis@upmcdirect.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180618000418 PA Practitioner - General Surgery 4486909348 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Health Services IncGroup PAC ID 4880593722, 572 clinicians

Practice addresses (Care Compare)

100 Fairfield Dr
Seneca, PA 16346-2130
Phone (412) 432-5203

3406 Peach St
Erie, PA 16508-2740
Phone (814) 877-5381

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.89 of 100Reported as group
Quality
65.8
Promoting interoperability
100
Improvement activities
40
Cost
73.83

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Community Medcine Inc CurrentSince Jul 1, 2018 Accepting new patients
Somerset Health Services Inc Single Specialty Current Accepting new patients
Somerset Health Services, Inc. Single Specialty CurrentSince Jun 1, 2023 Accepting new patients
Regional Health Services Inc Single Specialty CurrentSince Oct 1, 2022 Accepting new patients
Somerset Health Services Inc Single Specialty CurrentSince Jun 1, 2023 Accepting new patients
Upmc Community Medicine, Inc Single Specialty Current Accepting new patients
Upmc Community Medicine Inc Single Specialty CurrentSince Jul 1, 2018 Accepting new patients

Locations

426 Main St
Berlin, PA 15530
Phone (814) 267-4603

3406 Peach St
Erie, PA 16508
Phone (814) 877-5381

875 N Hermitage Rd
Ste 3
Hermitage, PA 16148
Phone (724) 347-4622

2 Hot Metal St
Bldg 3RD
Pittsburgh, PA 15203

339 6th Ave
Fl 5
Pittsburgh, PA 15222
Phone (412) 560-8762

100 Fairfield Dr
Seneca, PA 16346
Phone (814) 676-7600

Interoperability endpoints

  • Direct secure messaging: mellakis83634@upmc.direct-ci.com
  • Direct secure messaging: mustapha.ellakis@upmcdirect.com

Organizations & group practices 7

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 3

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": "1526947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1912498304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 MCCORMICK ST",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601881382",
            "telephone_number": "616-990-6358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 FAIRFIELD DRIVE",
            "city": "SENECA",
            "state": "PA",
            "postal_code": "16346",
            "telephone_number": "616-990-6358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EL LAKIS",
        "first_name": "MUSTAPHA",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-22",
        "last_updated": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "LT000361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mustapha.ellakis@upmcdirect.com",
            "affiliation": "N",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Seneca, PA

Sources for this page

Verify at the official NPI Registry.