SHAHRUKH MUSTAFA M.D.
NPI 1205280542
Family Medicine in New Paltz, NY

Q: What is Shahrukh Mustafa's NPI number?

The NPI number for Shahrukh Mustafa is 1205280542. It was assigned to this individual provider in the NPPES registry on April 22, 2016.

Q: What is Shahrukh Mustafa's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Shahrukh Mustafa was last updated on March 20, 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.

Active since April 22, 2016PECOS EnrolledAccepts Medicare Assignment

81.31/100

CMS Quality Rating

279 MAIN ST, NEW PALTZ, NY 12561(845) 255-2930(845) 255-3089 Get Directions Write a Review

NPPES record last updated: March 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 20, 2023, Apr 1, 2021 (2 updates tracked since 2021).

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About Shahrukh Mustafa M.d. NPPES

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

SHAHRUKH MUSTAFA M.D. (NPI 1205280542) is an individual family medicine provider in New Paltz, New York, licensed in New York (301251) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Our Lady Of Lourdes Memorial Hospital, Inc, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1205280542

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameSHAHRUKH MUSTAFACredential: M.D.

Location Address279 MAIN STNew Paltz, NY 12561-1623

Mailing Address396 BroadwayKingston, NY 12401-4626 · (845) 802-7600 · Fax (845) 338-0307

Phone(845) 255-2930

Fax(845) 255-3089

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateApril 22, 2016

Last NPPES UpdateMarch 20, 20232 updates tracked since enumeration

NPPES CertifiedMarch 20, 2023

✔ NPI 1205280542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NY · 301251

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

279 MAIN ST, New Paltz, NY 12561

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Shahrukh Mustafa 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.

PECOS PAC ID3577895887

PECOS Enrollment IDI20191105002348

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 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

201 services104 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

62 services49 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

32 services32 patients

Hospital Affiliations CMS Care Compare

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

Our Lady Of Lourdes Memorial Hospital, Inc

Acute Care Hospitals · Binghamton, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330011

Location169 Riverside DriveBinghamton, NY 13905 · Broome County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12561 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

$95.99 typical visit price

range $61.88 – $187.05

Typical copayment $23.99 (range $15.47 – $46.76)

Most-billed visit code 99203

Established Patient

$108.56 typical visit price

range $19.92 – $151.94

Typical copayment $27.14 (range $4.98 – $37.98)

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.

81.31/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

73.57

Promoting Interoperability

Improvement Activities

Cost

64.87

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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.

LING JESSICA ZHENG DO

Student in an Organized Health Care Education/Training Program

279 MAIN ST
NEW PALTZ, NY 12561

Ulster County (845) 255-2930

RAJVIR LAURA MD

Student in an Organized Health Care Education/Training Program

279 MAIN ST
NEW PALTZ, NY 12561

Ulster County (845) 255-2930

HEALTH QUEST MEDICAL PRACTICE

Psychiatry & Neurology (Neurology)

279 MAIN ST
NEW PALTZ, NY 12561

Ulster County (845) 475-9661

BRIDGET FOY DO

Family Medicine

279 MAIN ST, SUITE 102
NEW PALTZ, NY 12561

Ulster County (845) 255-2930

CAROLYN KWA DO

Family Medicine

279 MAIN ST
NEW PALTZ, NY 12561

Ulster County (845) 255-2930

MID-HUDSON FAMILY HEALTH INSTITUTE

Family Medicine

279 MAIN ST, SUITE 102
NEW PALTZ, NY 12561

Ulster County (845) 255-2930

MRS. SUSAN PATRICIA VAN DE BOGART PT

Physical Therapist

279 MAIN ST, SUITE 203
NEW PALTZ, NY 12561

Ulster County (845) 256-0253

MICHELLE E. MILLER LCSW

Social Worker (Clinical)

279 MAIN ST, 102
NEW PALTZ, NY 12561

Ulster County (845) 255-2930

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 Shahrukh Mustafa's NPI number?

The NPI number for Shahrukh Mustafa is 1205280542. It was assigned to this individual provider in the NPPES registry on April 22, 2016.

Where is Shahrukh Mustafa located?

Shahrukh Mustafa practices at 279 Main St, New Paltz, NY 12561. The listed phone number is (845) 255-2930.

What is Shahrukh Mustafa's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Shahrukh Mustafa enrolled in Medicare?

Yes. Shahrukh 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 Shahrukh Mustafa accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Shahrukh 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 Shahrukh Mustafa affiliated with any hospitals?

According to CMS data, Shahrukh Mustafa is affiliated with Our Lady Of Lourdes Memorial Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Shahrukh Mustafa was last updated on March 20, 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.