Individual provider Active NPI

Nowwar G Mustafa, MD

  • Interventional Cardiology Physician
  • Fremont, CA
National Provider Identifier
1952433690
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
C175533 Issued in CA
Practice address
39300 Civic Center Dr Ste 200
Fremont, CA 94538-2337
Phone
(510) 248-1670
NPI assigned
Mar 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 43443 KY
Cardiovascular Disease Physician 207RC0000X 43443 KY
Interventional Cardiology Physician 207RI0011X C175533 CA Primary

Addresses

Primary practice location

39300 Civic Center Dr Ste 200
Fremont, CA 94538-2337

Mailing address

39300 Civic Center Dr Ste 200
Fremont, CA 94538-2337
Phone (510) 248-1670

Other identifiers 3

IdentifierTypeStateIssuer
139220MedicaidOH
43443OtherKYLICENSE
7100123980MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20220722001397 CA Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 4486787835 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alameda Health SystemGroup PAC ID 3779494521, 597 clinicians
Washington Township Hospital DistrictGroup PAC ID 2860488822, 28 clinicians
Washington Township Medical FoundationGroup PAC ID 2860687050, 125 clinicians

Practice addresses (Care Compare)

13855 E 14TH St
San Leandro, CA 94578-2611
Phone (510) 357-6500

2000 Mowry Ave
Fremont, CA 94538-1716
Phone (510) 797-1111

734 Mowry Ave
Fremont, CA 94536-4115
Phone (510) 248-1670

Hospital & facility affiliations

  • Washington Hospital Hospital, Fremont, CA, CCN 050195

Merit-based Incentive Payment System (MIPS)

Final score
87.74 of 100Reported as group
Quality
66.48
Promoting interoperability
100
Improvement activities
40
Cost
75.97

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
C175533CAMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Township Medical Foundation CurrentSince Jun 20, 2022 Accepting new patients
Washington Township Medical Foundation CurrentSince Jun 20, 2022 Accepting new patients
Washington Township Hospital District Current Accepting new patients
Alameda Health System CurrentSince Nov 30, 2025 Accepting new patients
Alameda Health System CurrentSince Nov 30, 2025 Accepting new patients
Washington Township Hospital District CurrentSince Jun 20, 2022 Accepting new patients
Washington Township Medical Group Past Accepting new patients
Alameda Health System Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

2500 Mowry Ave
Ste 255
Fremont, CA 94538

39500 Fremont Blvd
Ste 100
Fremont, CA 94538
Phone (510) 248-1800

2000 Mowry Ave
Fremont, CA 94538
Phone (510) 793-6653

734 Mowry Ave
Fremont, CA 94536
Phone (510) 742-6274

39300 Civic Center Dr
Ste 200
Fremont, CA 94538
Phone (510) 248-1670

1411 E 31st St
Oakland, CA 94602
Phone (510) 437-4323

13855 E 14th St
San Leandro, CA 94578
Phone (510) 357-6500

Interoperability endpoints

  • Direct secure messaging: nmustafa142126@direct.whhs.com

Organizations & group practices 9

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.

Hospital & facility affiliations 1

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": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1952433690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39300 CIVIC CENTER DR STE 200",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945382337",
            "telephone_number": "510-248-1670",
            "fax_number": "510-509-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39300 CIVIC CENTER DR STE 200",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945382337",
            "telephone_number": "510-248-1670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSTAFA",
        "first_name": "NOWWAR",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-09",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "KY",
            "license": "43443",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "KY",
            "license": "43443",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "C175533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139220",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "43443",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100123980",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

Verify at the official NPI Registry.