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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. GULAM HUSSAIN MUSHARAF MD
NPI 1255536645
Pediatrics in Helotes, TX

Active since June 18, 2007PECOS Enrolled
9708 BUSINESS PKWY STE 118, HELOTES, TX 78023(210) 372-9898(972) 980-3738 Get Directions Write a Review

NPPES record last updated: September 14, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 14, 2026, Sep 10, 2026, Sep 3, 2024 (3 updates tracked since 2024).

About Dr. Gulam Hussain Musharaf Md NPPES

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

DR. GULAM HUSSAIN MUSHARAF MD (NPI 1255536645) is an individual pediatrics provider in Helotes, Texas, licensed in Texas (M9521) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1255536645
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. GULAM HUSSAIN MUSHARAFCredential: MD
Location Address9708 BUSINESS PKWY STE 118Helotes, TX 78023-4742
Mailing Address9708 Business Pkwy Ste 118Helotes, TX 78023-4742 · (210) 372-9898 · Fax (972) 980-3738
Phone(210) 372-9898
Fax(972) 980-3738
Sole ProprietorYes
Enumeration DateJune 18, 2007
Last NPPES UpdateSeptember 14, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 14, 2026
✔ NPI 1255536645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in TX · M9521
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
9708 BUSINESS PKWY STE 118, Helotes, TX 78023
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1903 W Martin StSan Antonio, TX 78207-0903 · Phone (201) 358-3115 · Fax (210) 702-6318
Location 24647 Medical DrSan Antonio, TX 78229-4403 · Phone (210) 358-5510 · Fax (210) 358-8536

Other Identifiers 2

Other186576802TX · Cshcn
Medicaid186576801TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Community First 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)

Dr. Gulam Hussain Musharaf Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Gulam Musharaf reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Medicine Associates
14 mi
Family Medicine
903 W MARTIN ST # MS 49-2
San Antonio, TX 78207
  • Reassigned Medicare billing, Texas enrollment
  • 1,129 clinicians in this Medicare group
NPI 1245313329 (210) 358-3401

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 78023 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GORDON KEITH ROSS FNP-C
Nurse Practitioner (Family)
9708 BUSINESS PKWY STE 118
HELOTES, TX 78023
Bexar County (210) 372-9898

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 Gulam Musharaf's NPI number?

The NPI number for Gulam Musharaf is 1255536645. It was assigned to this individual provider in the NPPES registry on June 18, 2007.

Where is Gulam Musharaf located?

Gulam Musharaf practices at 9708 Business Pkwy Ste 118, Helotes, TX 78023. The listed phone number is (210) 372-9898.

What is Gulam Musharaf's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Gulam Musharaf enrolled in Medicare?

Yes. Gulam Musharaf is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Gulam Musharaf's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gulam Musharaf reassigns Medicare benefits to Community Medicine Associates (San Antonio, TX). 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 Gulam Musharaf's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gulam Musharaf accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Community First, Imperial Insurance Companies, Inc. and Oscar Insurance Company and 1 other insurer list Gulam Musharaf 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 Gulam Musharaf was last updated on September 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 36 days 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.