DR. GHULAM MUSTAFA MUGHAL APRN
NPI 1205571049
Nurse Practitioner - Adult Health in Louisville, KY
About Dr. Ghulam Mustafa Mughal Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. GHULAM MUSTAFA MUGHAL APRN (NPI 1205571049) is an individual adult health provider in Louisville, Kentucky, licensed in Kentucky (3017741) and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS, is affiliated with Jewish Hospital & St Mary's Healthcare, and is a graduate of University Of Louisville School Of Medicine (2021).
NPPES Registry Identity
Specialties & Licenses
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
Dr. Ghulam Mustafa Mughal Aprn 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 Reassignments
2Medicare enrollment records show Ghulam Mughal reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Louisville, KY 40202
- Reassigned Medicare billing, Kentucky enrollment
- 2,337 clinicians in this Medicare group
Louisville, KY 40203
- Reassigned Medicare billing, Kentucky enrollment
- 23 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Jewish Hospital & St Mary's Healthcare
Acute Care Hospitals · Louisville, KYNorton Hospitals, Inc
Acute Care Hospitals · Louisville, KYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 40202 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
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOUISVILLE, KY 40202
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 Ghulam Mughal's NPI number?
The NPI number for Ghulam Mughal is 1205571049. It was assigned to this individual provider in the NPPES registry on May 4, 2022.
Where is Ghulam Mughal located?
Ghulam Mughal practices at 401 E Chestnut St Ste 701, Louisville, KY 40202. The listed phone number is (502) 583-8303.
What is Ghulam Mughal's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Ghulam Mughal enrolled in Medicare?
Yes. Ghulam Mughal 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 organizations bill Medicare for Ghulam Mughal's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ghulam Mughal reassigns Medicare benefits to 2 organizations: University Of Louisville Physicians, Inc. (Louisville, KY) and Bluegrass Kidney Consultants Psc (Louisville, KY). Each 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 Ghulam Mughal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ghulam Mughal accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Ghulam Mughal 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 Ghulam Mughal affiliated with any hospitals?
According to CMS data, Ghulam Mughal is affiliated with Jewish Hospital & St Mary's Healthcare and Norton Hospitals, Inc.
When was this NPI record last updated?
The NPPES record for Ghulam Mughal was last updated on January 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Dr. Ghulam Mustafa Mughal, APRN · NPI 1205571049
Adult Health physician in Louisville, Kentucky. Individual provider, active in the CMS NPPES registry since May 4, 2022.
## Identity
- **NPI:** 1205571049 (Entity type: Individual)
- **Enumerated:** May 4, 2022
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** 3017741 (Kentucky)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 401 E CHESTNUT ST STE 701, Louisville, KY 40202-5700
- **Phone:** (502) 583-8303
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): University Of Louisville Physicians, Inc. (NPI 1417219148, Louisville, KY); Bluegrass Kidney Consultants Psc (NPI 1558500918, Louisville, KY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Louisville School Of Medicine, class of 2021
## Record status
- **NPPES last updated:** January 21, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1205571049) · Data from the CMS NPPES public registry.