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MUSTAFA PATEL MD
NPI 1255015392
Family Medicine in West Covina, CA

Active since June 09, 2023PECOS Enrolled
1115 S SUNSET AVE, WEST COVINA, CA 91790(626) 962-4011 Get Directions Write a Review

NPPES record last updated: August 11, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 11, 2026, Jun 9, 2023 (2 updates tracked since 2023).

About Mustafa Patel Md NPPES

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

MUSTAFA PATEL MD (NPI 1255015392) is an individual family medicine provider in West Covina, California, licensed in Michigan (4301517175) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1255015392
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMUSTAFA PATELCredential: MD
Location Address1115 S SUNSET AVEWest Covina, CA 91790-3940
Mailing Address1135 S Sunset Ave Ste 401West Covina, CA 91790-3921 · (626) 813-7837
Phone(626) 962-4011
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJune 9, 2023
Last NPPES UpdateAugust 11, 20262 updates tracked since enumeration
NPPES CertifiedAugust 11, 2026
✔ NPI 1255015392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 4301517175
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 ListedGeneral PracticeTaxonomy 208D00000X · License 4301517175 (MI)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1115 S SUNSET AVE, West Covina, CA 91790
Open in Google Maps ↗

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mustafa Patel Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4082171574
PECOS Enrollment IDI20260804004782
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Mustafa Patel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Advantage Health/Saint Mary's Medical Group
1,829 mi
Urgent Care
3925 32ND AVE STE 500
Hudsonville, MI 49426
  • Reassigned Medicare billing, Michigan enrollment
  • 737 clinicians in this Medicare group
NPI 1538430533 (616) 685-1530
American Current Care Of Michigan PC
1,840 mi
Urgent Care
436 44TH ST SE, SUITE A
Grand Rapids, MI 49548
  • Reassigned Medicare billing, Michigan enrollment
  • 56 clinicians in this Medicare group
NPI 1659562262 (616) 531-9750

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91790 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

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.

MRS. CLAIRE MARIE TABARES FNP-C
Nurse Practitioner
1115 S SUNSET AVE
WEST COVINA, CA 91790
Los Angeles County (626) 814-2547
MRS. SHANNON RIVERA PA-C
Physician Assistant
1115 S SUNSET AVE
WEST COVINA, CA 91790
Los Angeles County (626) 962-4011
CATHARINE IRENE JORDAN REGISTERED NURSE
Registered Nurse (Emergency)
1115 S SUNSET AVE
WEST COVINA, CA 91790
Los Angeles County (626) 814-2534
IVY KRISTINA ENVERGA PHARMD
Pharmacist
1115 S SUNSET AVE
WEST COVINA, CA 91790
Los Angeles County (626) 814-2412
MICHELLE INGA
Registered Nurse (Emergency)
1115 S SUNSET AVE
WEST COVINA, CA 91790
Los Angeles County (626) 962-4011
LAUREN CAROL O'NEAL PA-C
Physician Assistant
1115 S SUNSET AVE
WEST COVINA, CA 91790
Los Angeles County (626) 962-4011
TREVOR-TRUNG NGUYEN
Student in an Organized Health Care Education/Training Program
1115 S SUNSET AVE
WEST COVINA, CA 91790
Los Angeles County (626) 962-4011
DR. DAVID J MICHELSON M.D.
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
1115 S SUNSET AVE
WEST COVINA, CA 91790
Los Angeles County (626) 962-4011

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 Patel's NPI number?

The NPI number for Mustafa Patel is 1255015392. It was assigned to this individual provider in the NPPES registry on June 9, 2023.

Where is Mustafa Patel located?

Mustafa Patel practices at 1115 S Sunset Ave, West Covina, CA 91790. The listed phone number is (626) 962-4011.

What is Mustafa Patel's specialty?

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

Is Mustafa Patel enrolled in Medicare?

Yes. Mustafa Patel is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mustafa Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mustafa Patel reassigns Medicare benefits to 2 organizations: Advantage Health/Saint Mary's Medical Group (Hudsonville, MI) and American Current Care Of Michigan PC (Grand Rapids, MI). 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 Mustafa Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mustafa Patel accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 7 other insurers list Mustafa Patel 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.

When was this NPI record last updated?

The NPPES record for Mustafa Patel was last updated on August 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.