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MUSTAFA AL JUBOORI DO
NPI 1013761220
Student in an Organized Health Care Education/Training Program in Erie, PA

Active since April 15, 2024PECOS Enrolled
311 W 24TH ST, ERIE, PA 16502(914) 452-5000(814) 452-5097 Get Directions Write a Review

NPPES record last updated: April 15, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mustafa Al Juboori Do NPPES

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

MUSTAFA AL JUBOORI DO (NPI 1013761220) is an individual student in an organized health care education/training program in Erie, Pennsylvania and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1013761220
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMUSTAFA AL JUBOORICredential: DO
Location Address311 W 24TH STErie, PA 16502-2665
Mailing Address311 W 24th StErie, PA 16502-2665 · (914) 452-5000
Phone(914) 452-5000
Fax(814) 452-5097
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateApril 15, 2024
NPPES CertifiedApril 8, 2024
✔ NPI 1013761220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
311 W 24TH ST, Erie, PA 16502
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mustafa Al Juboori Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5395204549
PECOS Enrollment IDI20260827003085
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.

Medicare Billing Reassignment

Medicare enrollment records show Mustafa Al Juboori reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ahn Emergency Group Of Erie County Ltd.
0.7 mi
Emergency Medicine
232 W 25TH ST
Erie, PA 16544
  • Reassigned Medicare billing, New York enrollment
  • 39 clinicians in this Medicare group
NPI 1336564798 (330) 493-4443

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

DR. EDWARD C CLARK M.D.
Internal Medicine (Nephrology)
311 W 24TH ST, SUITE 402
ERIE, PA 16502
Erie County (814) 453-6687
PPC ANESTHESIA, INC.
Anesthesiology
311 W 24TH ST, SUITE #303
ERIE, PA 16502
Erie County (814) 454-1530
VINCENT BRICK
Student in an Organized Health Care Education/Training Program
311 W 24TH ST
ERIE, PA 16502
Erie County (814) 452-5100
SAINT VINCENT MEDICAL EDUCATION AND RESEARCH INST. INC
Podiatrist (Foot & Ankle Surgery)
311 W 24TH ST, SUITE 303
ERIE, PA 16502
Erie County (814) 835-3751
ZACHARY DOUGLAS ANDERSON
Student in an Organized Health Care Education/Training Program
311 W 24TH ST
ERIE, PA 16502
Erie County (814) 452-5100
SAINT VINCENT WOMEN'S CENTER
General Acute Care Hospital
311 W 24TH ST
ERIE, PA 16502
Erie County (814) 452-5879
DR. GRANT L PERRY MD
Family Medicine
311 W 24TH ST
ERIE, PA 16502
Erie County (512) 923-4456
BRIANNA HUFF DO
Student in an Organized Health Care Education/Training Program
311 W 24TH ST
ERIE, PA 16502
Erie County (814) 452-5100

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 Al Juboori's NPI number?

The NPI number for Mustafa Al Juboori is 1013761220. It was assigned to this individual provider in the NPPES registry on April 15, 2024.

Where is Mustafa Al Juboori located?

Mustafa Al Juboori practices at 311 W 24th St, Erie, PA 16502. The listed phone number is (914) 452-5000.

What is Mustafa Al Juboori's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Mustafa Al Juboori enrolled in Medicare?

Yes. Mustafa Al Juboori is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mustafa Al Juboori's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mustafa Al Juboori reassigns Medicare benefits to Ahn Emergency Group Of Erie County Ltd. (Erie, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mustafa Al Juboori's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mustafa Al Juboori was last updated on April 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.