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.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Moustafa Moussally is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
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
## Record status
- **NPPES last updated:** July 21, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1104434620) · Data from the CMS NPPES public registry.