Individual provider Active NPI

Mustafa Abdul-Hussein, MD

  • Gastroenterology Physician
  • Mattoon, IL
National Provider Identifier
1972759173
Registry record updated Oct 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
4301092311 Issued in MI
Practice address
1000 Health Center Dr Ste 204
Mattoon, IL 61938-4644
Phone
(217) 258-4155
Fax
(217) 258-2579
NPI assigned
Aug 7, 2008
Last updated
Oct 19, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 1 OK
Gastroenterology Physician 207RG0100X 036-172374 IL
Gastroenterology Physician 207RG0100X 4301092311 MI Primary
Hepatology Physician 207RI0008X 2 OK

Addresses

Primary practice location

1000 Health Center Dr Ste 204
Mattoon, IL 61938-4644

Mailing address

PO Box 372
Mattoon, IL 61938-0372

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240125000764 AR Practitioner - Gastroenterology 2466620380 Reassigns benefits to 1 organization
I20241224001351 IL Practitioner - Gastroenterology 2466620380 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sarah Bush Lincoln Health CenterGroup PAC ID 5092614867, 411 clinicians

Practice addresses (Care Compare)

1000 Health Ctr Dr
Suite 204
Mattoon, IL 61938-4644
Phone (217) 258-2190

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy43
Upper gastrointestinal (GI) endoscopy for acid reflux96

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
1OKMDGenetic Counselor (M.S.)
036-172374ILMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cleveland Clinic Mercy Hospital CurrentSince Feb 8, 2024 Accepting new patients
Cleveland Clinic Mercy Hospital CurrentSince Feb 8, 2024 Accepting new patients
Sarah Bush Lincoln Health Center Internal Medicine CurrentSince Jan 2, 2025 Accepting new patients
Sarah Bush Lincoln Health Center Current Accepting new patients
Baptist Health Services Internal Medicine CurrentSince Jan 8, 2024 Accepting new patients
Sarah Bush Lincoln Health Center CurrentSince Jan 2, 2025 Accepting new patients
Baptist Health Services Current Accepting new patients
Sarah Bush Lincoln Health Center Past Accepting new patients

Locations

1001 Towson Ave
Ste 100
Fort Smith, AR 72901
Phone (479) 709-7430

1120 Lexington Ave
Fort Smith, AR 72901
Phone (479) 709-7245

1500 Dodson Ave
Ste 285B
Fort Smith, AR 72901
Phone (479) 709-7025

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

1000 Health Center Dr
Mattoon, IL 61938
Phone (217) 258-2389

1000 Health Center Dr
Ste 204
Mattoon, IL 61938
Phone (217) 258-4155

101 Professional Plz
Mattoon, IL 61938
Phone (217) 238-3730

1320 Mercy Dr NW
Spc Ser
Canton, OH 44708
Phone (330) 492-8720

1330 Mercy Dr NW
Ste 200
Canton, OH 44708
Phone (330) 489-1000

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

Interoperability endpoints

  • Direct secure messaging: mabdulhussein725732@direct.baptist-healthar.org

Organizations & group practices 8

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 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": "1218067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792368000000",
    "number": "1972759173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 372",
            "city": "MATTOON",
            "state": "IL",
            "postal_code": "619380372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 HEALTH CENTER DR STE 204",
            "city": "MATTOON",
            "state": "IL",
            "postal_code": "619384644",
            "telephone_number": "217-258-4155",
            "fax_number": "217-258-2579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDUL-HUSSEIN",
        "first_name": "MUSTAFA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-07",
        "last_updated": "2026-10-19",
        "certification_date": "2026-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OK",
            "license": "1",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IL",
            "license": "036-172374",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MI",
            "license": "4301092311",
            "primary": true
        },
        {
            "code": "207RI0008X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hepatology",
            "state": "OK",
            "license": "2",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mattoon, IL

Sources for this page

Verify at the official NPI Registry.