BILAL MUSTAFA MD
NPI 1356661185
Internal Medicine in Buffalo, NY

Q: What is Bilal Mustafa's NPI number?

The NPI number for Bilal Mustafa is 1356661185. It was assigned to this individual provider in the NPPES registry on June 3, 2010.

Q: What is Bilal Mustafa's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Bilal Mustafa was last updated on April 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since June 03, 2010PECOS EnrolledAccepts Medicare Assignment

ELM AND CARLTON ST, BUFFALO, NY 14263(716) 845-2300(716) 845-1110 Get Directions Write a Review

NPPES record last updated: April 27, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 27, 2026, Nov 12, 2025 (2 updates tracked since 2025).

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About Bilal Mustafa Md NPPES

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

BILAL MUSTAFA MD (NPI 1356661185) is an individual internal medicine provider in Buffalo, New York, licensed in Texas (Q8971) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with Titus Regional Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1356661185

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameBILAL MUSTAFACredential: MD

Location AddressELM AND CARLTON STBuffalo, NY 14263-0001

Mailing AddressElm And Carlton StBuffalo, NY 14263-0001 · (716) 845-2300 · Fax (716) 845-1110

Phone(716) 845-2300

Fax(716) 845-1110

Sole ProprietorNo

Medical School CMSOtherGraduated 2007

Enumeration DateJune 3, 2010

Last NPPES UpdateApril 27, 20262 updates tracked since enumeration

NPPES CertifiedApril 27, 2026

✔ NPI 1356661185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in TX · Q8971✔ Licensed in KY · 53492✔ Licensed in NY · 274332

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License Q8971 (TX), 53492 (KY)

Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 53492 (KY), Q8971 (TX)

ELM AND CARLTON ST, Buffalo, NY 14263

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Secondary Practice Locations 2

Location 1800 Rose StLexington, KY 40536-0293 · Phone (859) 257-1000

Location 22001 N JEFFERSON AVEMount Pleasant, TX 75455-2338 · Phone (903) 577-6000 · Fax (903) 577-6245

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc. and more.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

Bilal Mustafa Md 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 ID1557587607

PECOS Enrollment IDI20161207000154

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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

147 services82 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

59 services35 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

59 services46 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

51 services49 patients

Hospital Affiliations CMS Care Compare 3

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

Titus Regional Medical Center

Acute Care Hospitals · Mount Pleasant, TX

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number450080

Location2001 N JeffersonMount Pleasant, TX 75455 · Titus County

Emergency services Birthing friendly

Medical City Dallas Hospital

Acute Care Hospitals · Dallas, TX

3/5 CMS rating

OwnershipProprietary

CMS Certification Number450647

Location7777 Forest LaneDallas, TX 75230 · Dallas County

Emergency services Birthing friendly

Baylor Scott And White Medical Center Mckinney

Acute Care Hospitals · Mc Kinney, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number670082

Location5252 West University DriveMc Kinney, TX 75071 · Collin County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14263 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

$126.40 typical visit price

range $54.87 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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.

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

58%192 patients3/55-star benchmark: 100%

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

10%50 patients1/55-star benchmark: 99%

Documentation of Current Medications in the Medical Record

Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.

100%114 patients5/55-star benchmark: 100%

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

67%27 patients3/55-star benchmark: 100%

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

20%46 patients1/55-star benchmark: 95%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

MICHELLE DOYLE MCCARTHY PA

Physician Assistant