MOUSTAFA MOUSSALLY
NPI 1104434620
General Practice in Cleveland, OH
About Moustafa Moussally NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MOUSTAFA MOUSSALLY (NPI 1104434620) is an individual general practice provider in Cleveland, Ohio, licensed in Ohio (57.249624) and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Moustafa Moussally is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Moustafa Moussally reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Cleveland, OH 44106
- Reassigned Medicare billing, Ohio enrollment
- 3,958 clinicians in this Medicare group
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.
CLEVELAND, OH 44195
CLEVELAND, OH 44195
CLEVELAND, OH 44195
CLEVELAND, OH 44195
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 Moustafa Moussally's NPI number?
The NPI number for Moustafa Moussally is 1104434620. It was assigned to this individual provider in the NPPES registry on July 21, 2020.
Where is Moustafa Moussally located?
Moustafa Moussally practices at 9500 Euclid Ave, Cleveland, OH 44195. The listed phone number is (216) 444-2200.
What is Moustafa Moussally's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Moustafa Moussally enrolled in Medicare?
Yes. Moustafa Moussally is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Moustafa Moussally's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Moustafa Moussally reassigns Medicare benefits to University Hospitals Medical Group Inc (Cleveland, OH). 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 Moustafa Moussally's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Moustafa Moussally accept?
Health plans from Anthem Blue Cross and Blue Shield and CareSource list Moustafa Moussally 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.
When was this NPI record last updated?
The NPPES record for Moustafa Moussally was last updated on July 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Moustafa Moussally · NPI 1104434620
General Practice physician in Cleveland, Ohio. Individual provider, active in the CMS NPPES registry since July 21, 2020.
## Identity
- **NPI:** 1104434620 (Entity type: Individual)
- **Enumerated:** July 21, 2020
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **State license:** 57.249624 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 9500 EUCLID AVE, Cleveland, OH 44195-0001
- **Phone:** (216) 444-2200
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** University Hospitals Medical Group Inc (NPI 1669499414, Cleveland, OH), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** July 21, 2020
---
Source: [NPI Profile](https://npiprofile.com/npi/1104434620) · Data from the CMS NPPES public registry.