MR. MUSTAK MANSUR MOMIN M.D.
NPI 1124142609
Pediatrics in Pasadena, TX
About Mr. Mustak Mansur Momin M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. MUSTAK MANSUR MOMIN M.D. (NPI 1124142609) is an individual pediatrics provider in Pasadena, Texas, licensed in Texas (K7457) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical Branch At Galveston (1996).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Mustak Mansur Momin M.d. 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.
Medicare Billing Reassignment
Medicare enrollment records show Mustak Momin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Beaumont, TX 77706
- Reassigned Medicare billing, Texas enrollment
- 351 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 77502 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PASADENA, TX 77502
PASADENA, TX 77502
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 Mustak Momin's NPI number?
The NPI number for Mustak Momin is 1124142609. It was assigned to this individual provider in the NPPES registry on March 19, 2007.
Where is Mustak Momin located?
Mustak Momin practices at 908 Southmore Ave Suite # 340, Pasadena, TX 77502. The listed phone number is (713) 477-0400.
What is Mustak Momin's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Mustak Momin enrolled in Medicare?
Yes. Mustak Momin 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.
Which organization bills Medicare for Mustak Momin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mustak Momin reassigns Medicare benefits to Doctors Express Of The Beaumont Area PA (Beaumont, TX). 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 Mustak Momin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mustak Momin accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Mustak Momin 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 Mustak Momin was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Mr. Mustak Mansur Momin, M.D. · NPI 1124142609
Pediatrics physician in Pasadena, Texas. Individual provider, active in the CMS NPPES registry since March 19, 2007.
## Identity
- **NPI:** 1124142609 (Entity type: Individual)
- **Enumerated:** March 19, 2007
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** K7457 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 908 SOUTHMORE AVE, SUITE # 340, Pasadena, TX 77502-1134
- **Phone:** (713) 477-0400 · **Fax:** (713) 477-2711
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Doctors Express Of The Beaumont Area PA (NPI 1841525235, Beaumont, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Texas Medical Branch At Galveston, class of 1996
## Record status
- **NPPES last updated:** July 8, 2007
- **Other identifiers:** Medicare UPIN H22814 (TX); Medicaid P000178Y5 (TX); Other 8620N6 (TX)
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Source: [NPI Profile](https://npiprofile.com/npi/1124142609) · Data from the CMS NPPES public registry.