DR. HUSAMELDEN B MUSTAFA MD
NPI 1124516364
Hospitalist in Gainesville, GA

Active since April 24, 2018PECOS EnrolledAccepts Medicare Assignment
82.55/100
CMS Quality Rating
NORTHEAST GEORGIA HEALTH SYSTEM, 743 SPRING ST NE, GAINESVILLE, GA 30501(770) 219-9000 Get Directions Write a Review

NPPES record last updated: January 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 3, 2025, Aug 12, 2021, Apr 24, 2018 (3 updates tracked since 2018).

About Dr. Husamelden B Mustafa Md NPPES

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

DR. HUSAMELDEN B MUSTAFA MD (NPI 1124516364) is an individual hospitalist provider in Gainesville, Georgia, licensed in Georgia (88129) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Northeast Georgia Medical Center, Inc, and maintains a secondary practice location in Atlanta.

NPPES Registry Identity

NPI1124516364
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. HUSAMELDEN B MUSTAFACredential: MD
Location AddressNORTHEAST GEORGIA HEALTH SYSTEM, 743 SPRING ST NEGainesville, GA 30501-3715
Mailing AddressWellstar Amc Internal Medicine Residency Program, 303 Parkway Drive NeAtlanta, GA 30312-1212 · (770) 265-4919
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateApril 24, 2018
Last NPPES UpdateJanuary 3, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 3, 2025
NPI 1124516364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in GA · 88129
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 88129 (GA)
NORTHEAST GEORGIA HEALTH SYSTEM, Gainesville, GA 30501

Secondary Practice Location 1

Location 1Wellstar AMC Internal Medicine Residency Program, 303 Parkway Drive NEAtlanta, GA 30312-1212 · Phone (770) 265-4919

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

Dr. Husamelden B Mustafa 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 ID6103224100
PECOS Enrollment IDI20211005003025
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 4

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.
50 services33 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.
37 services36 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.
21 services21 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.
19 services14 patients

Hospital Affiliations CMS Care Compare 4

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

Northeast Georgia Medical Center, Inc

Acute Care Hospitals · Gainesville, GA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number110029
Location743 Spring StreetGainesville, GA 30501 · Hall County
Emergency services Birthing friendly

Ngmc Barrow, LLC

Acute Care Hospitals · Winder, GA
OwnershipProprietary
CMS Certification Number110045
Location316 North Broad StreetWinder, GA 30680 · Barrow County
Emergency services

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

Northeast Georgia Medical Center Lumpkin

Acute Care Hospitals · Dahlonega, GA
OwnershipVoluntary non-profit - Other
CMS Certification Number110237
Location495 Highway 400 NorthDahlonega, GA 30533 · Lumpkin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30501 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

82.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.14
Promoting Interoperability100
Improvement Activities40
Cost60.7

Referred Medical Equipment & Supplies CMS DME claims 4

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

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier13 claims13 services$58.31 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
2 suppliers41 claims41 services$117.89 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier38 claims38 services$37.96 avg. paid by Medicare
Lightweight wheelchair K0003
DME-Wheelchairs · category DD000N
1 supplier22 claims22 services$42.20 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Husamelden Mustafa's NPI number?

The NPI number for Husamelden Mustafa is 1124516364. It was assigned to this individual provider in the NPPES registry on April 24, 2018.

Where is Husamelden Mustafa located?

Husamelden Mustafa practices at Northeast Georgia Health System 743 Spring St NE, Gainesville, GA 30501. The listed phone number is (770) 219-9000.

What is Husamelden Mustafa's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Husamelden Mustafa enrolled in Medicare?

Yes. Husamelden Mustafa 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 Husamelden Mustafa accept?

Health plans from Alliant Health Plans, Inc. list Husamelden Mustafa 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 Husamelden Mustafa affiliated with any hospitals?

According to CMS data, Husamelden Mustafa is affiliated with Northeast Georgia Medical Center, Inc, Ngmc Barrow, LLC, Northside Hospital and Northeast Georgia Medical Center Lumpkin.

When was this NPI record last updated?

The NPPES record for Husamelden Mustafa was last updated on January 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.