MAHMOUD MUSTAFA MUSA M.D.
NPI 1366091613
Internal Medicine - Nephrology in Memphis, TN

Q: What is Mahmoud Musa's NPI number?

The NPI number for Mahmoud Musa is 1366091613. It was assigned to this individual provider in the NPPES registry on September 10, 2019.

Q: What is Mahmoud Musa's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Q: When was this NPI record last updated?

The NPPES record for Mahmoud Musa was last updated on March 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 September 10, 2019PECOS EnrolledAccepts Medicare Assignment

1265 UNION AVE, 4 SHORB TOWER, MEMPHIS, TN 38104(901) 478-9183(901) 478-8957 Get Directions Write a Review

NPPES record last updated: March 3, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 3, 2026, Aug 14, 2024, Mar 23, 2020 and 1 more (4 updates tracked since 2019).

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About Mahmoud Mustafa Musa M.d. NPPES

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

MAHMOUD MUSTAFA MUSA M.D. (NPI 1366091613) is an individual nephrology provider in Memphis, Tennessee, licensed in Tennessee (75231) and active in the NPI registry since September 2019. He is enrolled in Medicare PECOS, is affiliated with Barnes Jewish Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1366091613

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameMAHMOUD MUSTAFA MUSACredential: M.D.

Location Address1265 UNION AVE, 4 SHORB TOWERMemphis, TN 38104-3415

Mailing Address1211 Union Ave Ste 330Memphis, TN 38104-6655

Phone(901) 478-9183

Fax(901) 478-8957

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateSeptember 10, 2019

Last NPPES UpdateMarch 3, 20264 updates tracked since enumeration

NPPES CertifiedMarch 3, 2026

✔ NPI 1366091613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

Licenses✔ Licensed in TN · 75231✔ Licensed in MN · 76358

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

1265 UNION AVE, Memphis, TN 38104

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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

Mahmoud Mustafa Musa 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 ID6002147436

PECOS Enrollment IDI20260302000027

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.

Hospital Affiliations CMS Care Compare 2

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

Barnes Jewish Hospital

Acute Care Hospitals · Saint Louis, MO

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number260032

LocationOne Barnes-Jewish Hospital PlazaSaint Louis, MO 63110 · St. Louis City County

Emergency services Birthing friendly

Methodist Hospitals Of Memphis

Acute Care Hospitals · Memphis, TN

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number440049

Location1265 Union Ave Suite 700Memphis, TN 38104 · Shelby County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38104 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

$121.80 typical visit price

range $52.64 – $160.89

Typical copayment $30.45 (range $13.16 – $40.22)

Most-billed visit code 99204

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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.

MICHAEL FISHER CRNA

Nurse Anesthetist, Certified Registered