MUSTAFA FAISAL MUSTAFA DOUGLAS MD
NPI 1164032447
Hospitalist in Sierra Vista, AZ
About Mustafa Faisal Mustafa Douglas Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MUSTAFA FAISAL MUSTAFA DOUGLAS MD (NPI 1164032447) is an individual hospitalist provider in Sierra Vista, Arizona, licensed in California (A185288) and active in the NPI registry since August 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Eureka, and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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
Mustafa Faisal Mustafa Douglas 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.
Medicare Billing Reassignment
Medicare enrollment records show Mustafa Douglas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Apple Valley, CA 92308
- Reassigned Medicare billing, California enrollment
- 1,699 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.
Areas of Expertise CMS Part B claims 6
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 85635 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SIERRA VISTA, AZ 85635
SIERRA VISTA, AZ 85635
SIERRA VISTA, AZ 85635
SIERRA VISTA, AZ 85635
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 Douglas's NPI number?
The NPI number for Mustafa Douglas is 1164032447. It was assigned to this individual provider in the NPPES registry on August 3, 2020.
Where is Mustafa Douglas located?
Mustafa Douglas practices at 5700 E Highway 90, Sierra Vista, AZ 85635. The listed phone number is (520) 263-3190.
What is Mustafa Douglas's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Mustafa Douglas enrolled in Medicare?
Yes. Mustafa Douglas 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 Mustafa Douglas's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mustafa Douglas reassigns Medicare benefits to Providence Medical Foundation (Apple Valley, CA). 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 Douglas'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 Douglas was last updated on August 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.