MUSTAFA ALY MD
NPI 1003195256
Internal Medicine in Lubbock, TX

Active since August 05, 2011PECOS EnrolledAccepts Medicare Assignment
3615 19TH ST, LUBBOCK, TX 79410(806) 725-4130 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 17, 2018, Mar 1, 2018 (2 updates tracked since 2018).

About Mustafa Aly Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MUSTAFA ALY MD (NPI 1003195256) is an individual internal medicine provider in Lubbock, Texas, licensed in Texas (Q7829) and active in the NPI registry since August 2011. He is enrolled in Medicare PECOS, is affiliated with Covenant Medical Center, and maintains a secondary practice location in Lubbock.

NPPES Registry Identity

NPI1003195256
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMUSTAFA ALYCredential: MD
Location Address3615 19TH STLubbock, TX 79410-1203
Mailing Address5410 Maryland Way Ste 300Brentwood, TN 37027-5339 · (615) 377-5592 · Fax (440) 922-0145
Sole ProprietorYes
Medical School CMSOtherGraduated 2002
Enumeration DateAugust 5, 2011
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
NPI 1003195256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in TX · Q7829
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedInternal Medicine · NephrologyTaxonomy 207RN0300X · License Q7829 (TX)
3615 19TH ST, Lubbock, TX 79410

Secondary Practice Location 1

Location 13601 4th St, MS 9410Lubbock, TX 79430-9410 · Phone (806) 743-3155 ext. 237 · Fax (806) 743-3143

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mustafa Aly Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID345548855
PECOS Enrollment IDI20160516000995
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
830 services335 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
185 services184 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
77 services77 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
26 services14 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
21 services21 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Covenant Medical Center

Acute Care Hospitals · Lubbock, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450040
Location3615 19th StreetLubbock, TX 79410 · Lubbock County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79410 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%334 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers34 claims34 services$18.75 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers38 claims38 services$97.87 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse
3615 19TH ST
LUBBOCK, TX 79410
Pathology (Anatomic Pathology & Clinical Pathology)
3615 19TH ST
LUBBOCK, TX 79410
Clinic/Center (Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF))
3615 19TH ST
LUBBOCK, TX 79410
Dietitian, Registered
3615 19TH ST, THE LIFESTYLE CENTRE
LUBBOCK, TX 79410
Nurse Practitioner (Acute Care)
3615 19TH ST
LUBBOCK, TX 79410
Emergency Medicine
3615 19TH ST
LUBBOCK, TX 79410
Emergency Medicine
3615 19TH ST
LUBBOCK, TX 79410
Registered Nurse
3615 19TH ST
LUBBOCK, TX 79410

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mustafa Aly's NPI number?

The NPI number for Mustafa Aly is 1003195256. It was assigned to this individual provider in the NPPES registry on August 5, 2011.

Where is Mustafa Aly located?

Mustafa Aly practices at 3615 19th St, Lubbock, TX 79410. The listed phone number is (806) 725-4130.

What is Mustafa Aly's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Mustafa Aly enrolled in Medicare?

Yes. Mustafa Aly is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mustafa Aly accept?

Health plans from Blue Cross and Blue Shield of Texas list Mustafa Aly as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Mustafa Aly affiliated with any hospitals?

According to CMS data, Mustafa Aly is affiliated with Covenant Medical Center.

When was this NPI record last updated?

The NPPES record for Mustafa Aly was last updated on March 17, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.