MUSTAFA SYED AZIMUDDIN DO
NPI 1366970576
Family Medicine in Mount Pleasant, WI
About Mustafa Syed Azimuddin Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MUSTAFA SYED AZIMUDDIN DO (NPI 1366970576) is an individual family medicine provider in Mount Pleasant, Wisconsin, licensed in Wisconsin (73923) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS, is affiliated with Ascension All Saints Hospital, and maintains a secondary practice location in La Grange.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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
Mustafa Syed Azimuddin Do 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 Reassignment
Medicare enrollment records show Mustafa Azimuddin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Milwaukee, WI 53211
- Reassigned Medicare billing, Wisconsin enrollment
- 1,343 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.
Areas of Expertise CMS Part B claims 5
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ascension All Saints Hospital
Acute Care Hospitals · Racine, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53403 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MOUNT PLEASANT, WI 53403
MOUNT PLEASANT, WI 53403
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 Azimuddin's NPI number?
The NPI number for Mustafa Azimuddin is 1366970576. It was assigned to this individual provider in the NPPES registry on June 1, 2017.
Where is Mustafa Azimuddin located?
Mustafa Azimuddin practices at 4328 Old Green Bay Rd, Mount Pleasant, WI 53403. The listed phone number is (262) 687-7606.
What is Mustafa Azimuddin's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Mustafa Azimuddin enrolled in Medicare?
Yes. Mustafa Azimuddin 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 organization bills Medicare for Mustafa Azimuddin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mustafa Azimuddin reassigns Medicare benefits to Ascension Medical Group-Southeast Wisconsin Inc (Milwaukee, WI). 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 Mustafa Azimuddin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mustafa Azimuddin accept?
Health plans from Anthem Blue Cross and Blue Shield and Network Health list Mustafa Azimuddin 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 Mustafa Azimuddin affiliated with any hospitals?
According to CMS data, Mustafa Azimuddin is affiliated with Ascension All Saints Hospital.
When was this NPI record last updated?
The NPPES record for Mustafa Azimuddin was last updated on January 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.
# Mustafa Syed Azimuddin, DO · NPI 1366970576
Family Medicine physician in Mount Pleasant, Wisconsin. Individual provider, active in the CMS NPPES registry since June 1, 2017.
## Identity
- **NPI:** 1366970576 (Entity type: Individual)
- **Enumerated:** June 1, 2017
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 73923 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 4328 OLD GREEN BAY RD, Mount Pleasant, WI 53403-9489
- **Phone:** (262) 687-7606
## 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:** Ascension Medical Group-Southeast Wisconsin Inc (NPI 1194473066, Milwaukee, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** January 3, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1366970576) · Data from the CMS NPPES public registry.