MUSTAFA SYED AZIMUDDIN DO
NPI 1366970576
Family Medicine in Mount Pleasant, WI

Active since June 01, 2017PECOS EnrolledAccepts Medicare Assignment
82.39/100
CMS Quality Rating
4328 OLD GREEN BAY RD, MOUNT PLEASANT, WI 53403(262) 687-7606 Get Directions Write a Review

NPPES record last updated: January 3, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 3, 2025, Jul 21, 2022, Mar 4, 2019 and 1 more (4 updates tracked since 2017).

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

NPI1366970576
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMUSTAFA SYED AZIMUDDINCredential: DO
Location Address4328 OLD GREEN BAY RDMount Pleasant, WI 53403-9489
Mailing Address4328 Old Green Bay RdMount Pleasant, WI 53403-9489 · (262) 687-7606
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJune 1, 2017
Last NPPES UpdateJanuary 3, 20254 updates tracked since enumeration
NPPES CertifiedJanuary 3, 2025
NPI 1366970576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WI · 73923
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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 125070421 (IL)
4328 OLD GREEN BAY RD, Mount Pleasant, WI 53403

Secondary Practice Location 1

Location 11325 Community Memorial DrLA Grange, IL 60525-2659 · Phone (708) 245-8900 · Fax (708) 245-5777

Accepted 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

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.

PECOS PAC ID6103199476
PECOS Enrollment IDI20201001002782
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 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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
132 services83 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
50 services50 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
40 services36 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
20 services18 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
14 services14 patients

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, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520096
Location3801 Spring StRacine, WI 53405 · Racine County
Emergency services Birthing friendly

Physician 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.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

82.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.88
Promoting Interoperability81
Improvement Activities40
Cost74.38

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.

Occupational Therapist
4328 OLD GREEN BAY RD
MOUNT PLEASANT, WI 53403
Physical Therapy Assistant
4328 OLD GREEN BAY RD
MOUNT PLEASANT, WI 53403
Physician Assistant
4328 OLD GREEN BAY RD
MOUNT PLEASANT, WI 53403
Family Medicine
4328 OLD GREEN BAY RD
MT PLEASANT, WI 53403
Family Medicine
4328 OLD GREEN BAY RD
MT PLEASANT, WI 53403
Pediatrics
4328 OLD GREEN BAY RD
MT PLEASANT, WI 53403
Family Medicine
4328 OLD GREEN BAY RD
MT PLEASANT, WI 53403
Physician Assistant
4328 OLD GREEN BAY RD
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.

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 with the weekly NPPES data releases published by CMS.