MUSTAFA ABDULMAHDI M.D.
NPI 1205278843
Internal Medicine - Critical Care Medicine in Baltimore, MD


Quality Rating: 100 out of 100 score

NPI Status: Active since July 24, 2013

Contact Information

900 CATON AVE
MAILBOX 198
BALTIMORE, MD
ZIP 21229
Phone: (410) 368-8858
Fax: (410) 368-3525

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  • Individual
  • Male
  • Years of Experience 16
  • Internal Medicine
  • Critical Care Medicine
  • PECOS Enrolled
  • Accepts Medicare Approved Payment

About MUSTAFA ABDULMAHDI

Mustafa Abdulmahdi is an internist established in Baltimore, Maryland and his medical specialization is Internal Medicine with a focus in critical care medicine with more than 16 years of experience. The healthcare provider is registered in the NPI registry with number 1205278843 assigned on July 2013. The practitioner's primary taxonomy code is 207RC0200X with license number D83865 (MD). The provider is registered as an individual and his NPI record was last updated 6 years ago.

NPI
1205278843
Provider Name
MUSTAFA ABDULMAHDI M.D.
Gender
Male
Entity Type
Individual
Location Address
900 CATON AVE MAILBOX 198 BALTIMORE, MD 21229
Location Phone
(410) 368-8858
Location Fax
(410) 368-3525
Mailing Address
900 CATON AVE MAILBOX 198 BALTIMORE, MD 21229
Mailing Phone
(410) 368-8858
Mailing Fax
(410) 368-3525
Medical School Name
OTHER
Graduation Year
2009
Is Sole Proprietor?
Yes
Enumeration Date
07-24-2013
Last Update Date
03-18-2018
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An internist like Mustafa Abdulmahdi is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Mustafa Abdulmahdi is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 100, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The typical physician office visit costs for Medicare beneficiaries in this area are: $36.36 for a new patient copayment and $28.06 for an established patient copayment.

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Critical Care Medicine

Taxonomy Code
207RC0200X
Type
Allopathic & Osteopathic Physicians
License No.
D83865
License State
MD
Taxonomy Description
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1390200000XStudent, Health Care

Student in an Organized Health Care Education/Training Program

 

PECOS Enrollment and Medicare Participation Status

Mustafa Abdulmahdi is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 6002114964

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20170907000062, I20230531002694

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 21229 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $145.45
  • Minimum New Patient Price $63.64
  • Maximum New Patient Price $191.95
  • Average New Patient Copayment $36.36
  • Minimum New Patient Copayment $15.91
  • Maximum New Patient Copayment $47.98

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $112.24
  • Minimum Established Patient Price $19.91
  • Maximum Established Patient Price $156.57
  • Average Established Patient Copayment $28.06
  • Minimum Established Patient Copayment $4.97
  • Maximum Established Patient Copayment $39.14

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 100 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 100

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: 100

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

Clinician Services

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2020. The reported codes are based on the top 5 codes for each available specialty, excluding evaluation and management codes.

  • 66

    Emergent insertion of breathing tube into windpipe cartilage using an endoscope (HCPCS:31500)

  • 58

    Ultrasound guidance for accessing into blood vessel (HCPCS:76937)

  • 57

    Insertion of central venous catheter for infusion, patient 5 years or older (HCPCS:36556)

  • 56

    Insertion of arterial catheter for blood sampling or infusion, accessed through the skin (HCPCS:36620)

  • 24

    Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes (HCPCS:99152)

  • 13

    Ultrasonic guidance imaging supervision and interpretation for insertion of needle (HCPCS:76942)

Hospital Affiliations

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Mustafa Abdulmahdi is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
UNIVERSITY OF MARYLAND MEDICAL CENTER22 SOUTH GREENE STREET
BALTIMORE, MD 21201
(410) 328-8667Acute Care Hospitals
SAINT AGNES HOSPITAL900 CATON AVENUE
BALTIMORE, MD 21229
(410) 368-2101Acute Care Hospitals
ADVENTIST HEALTHCARE WHITE OAK MEDICAL CENTER11890 HEALING WAY
SILVER SPRING, MD 20904
(301) 891-5651Acute Care Hospitals
ADVENTIST HEALTHCARE SHADY GROVE MEDICAL CENTER9901 MEDICAL CENTER DRIVE
ROCKVILLE, MD 20850
(240) 826-6527Acute Care Hospitals
HOLY CROSS GERMANTOWN HOSPITAL19801 OBSERVATION DRIVE
GERMANTOWN, MD 20876
(301) 557-6020Acute Care Hospitals

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1205278843
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2205471688
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 0 + 5 + 4 + 7 + 1 + 6 + 8 + 8 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1205278843 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1760480495DR. MICHAEL JOHN MORIARTY MD
Individual
Internal Medicine (Rheumatology)900 CATON AVE ST AGNES HOSPITAL MAILBOX 19
BALTIMORE, MD 21229
(410) 368-2111
1841291978DR. SYLWESTER J DZIUBA MD
Individual
Radiology (Radiation Oncology)900 CATON AVE
BALTIMORE, MD 21229
(410) 368-2965
1891796926DR. RICHARD S HUDES MD
Individual
Radiology (Radiation Oncology)900 CATON AVE
BALTIMORE, MD 21229
(410) 368-2965
1619966546MS. NISHA ISAAC M.S., C.G.C.
Individual
Genetic Counselor, MS900 CATON AVE MAILBOX 068
BALTIMORE, MD 21229
(410) 368-2621
1417935560DR. KRIS MICHAEL SHEKITKA M.D.
Individual
Pathology (Anatomic Pathology)900 CATON AVE ST AGNES HOSPITAL
BALTIMORE, MD 21229
(410) 368-2746
1851363162DR. ROBIN LAUREL NUSKIND M.D.
Individual
Radiology (Diagnostic Radiology)900 CATON AVE
BALTIMORE, MD 21229
(410) 368-2149
1245299635 WILLIAM A VALENTE MD
Individual
Internal Medicine (Endocrinology, Diabetes & Metabolism)900 CATON AVE
BALTIMORE, MD 21229
(410) 368-3120
1831158211 KIMBERLY M ALLRED NP
Individual
Nurse Practitioner900 CATON AVE
BALTIMORE, MD 21229
(410) 368-2630
1518926906 PAUL A MCCLELLAND MD
Individual
Psychiatry & Neurology (Psychiatry)900 CATON AVE
BALTIMORE, MD 21229
(410) 368-2735
1295794626 AMMER Z BEKELE MD
Individual
Hospitalist900 CATON AVE
BALTIMORE, MD 21229
(410) 368-2524
1164481578 SUSAN A VIESON PA
Individual
Physician Assistant900 CATON AVE
BALTIMORE, MD 21229
(410) 368-2514
1235198649 MARJORIE PATRICIA MCGROW PA-C
Individual
Physician Assistant900 CATON AVE
BALTIMORE, MD 21229
(410) 368-2414
1548220593 MARGARET M FIRKO PA-C
Individual
Physician Assistant900 CATON AVE
BALTIMORE, MD 21229
(410) 368-2414
1174583124 JANE M CRESS NP
Individual
Nurse Practitioner900 CATON AVE
BALTIMORE, MD 21229
(410) 368-2630
1992765952 DAWN L SAUNDERS NP
Individual
Nurse Practitioner900 CATON AVE
BALTIMORE, MD 21229
(410) 368-2500
1396705372 JOHN H BEIGEL MD
Individual
Internal Medicine (Critical Care Medicine)900 CATON AVE
BALTIMORE, MD 21229
(410) 368-2225
1982664942 DIANA H GRIFFITHS MD
Individual
Internal Medicine (Medical Oncology)900 CATON AVE
BALTIMORE, MD 21229
(410) 368-2911
1295795250 PATRICIA A SCHMIDT NP
Individual
Nurse Practitioner900 CATON AVE
BALTIMORE, MD 21229
(410) 368-2630
1104887611 AFAF S LABIB PA
Individual
Physician Assistant900 CATON AVE
BALTIMORE, MD 21229
(410) 368-2414
1194786608 KARL H QUIST-THERSON MD
Individual
Hospitalist900 CATON AVE
BALTIMORE, MD 21229
(410) 368-2783

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205278843, enumerated in the NPI registry as an "individual" on July 24, 2013

The provider is located at 900 Caton Ave Mailbox 198 Baltimore, Md 21229 and the phone number is (410) 368-8858

The provider's speciality is Internal Medicine with taxonomy code 207RC0200X with a focus in Critical Care Medicine

The provider has more than 16 years of experience.

Yes, as of July 16, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences , uses technology to exchange and make use of healthcare information.

Medicare beneficiaries should expect a typical cost of $145.45 with an average copayment of $36.36 for new patient appointments. Established patients should expect a typical charge of $112.24 and an average copayment of 28.06. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Emergent insertion of breathing tube into windpipe cartilage using an endoscope, Ultrasound guidance for accessing into blood vessel, Insertion of central venous catheter for infusion, patient 5 years or older, Insertion of arterial catheter for blood sampling or infusion, accessed through the skin, Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes and Ultrasonic guidance imaging supervision and interpretation for insertion of needle.

The practitioner is affiliated to the following hospital(s): UNIVERSITY OF MARYLAND MEDICAL CENTER, SAINT AGNES HOSPITAL, ADVENTIST HEALTHCARE WHITE OAK MEDICAL CENTER, ADVENTIST HEALTHCARE SHADY GROVE MEDICAL CENTER and HOLY CROSS GERMANTOWN HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on July 24, 2013. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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