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MOHAMED MUSTAFA ELSUNNI M.D.
NPI 1376982348
Hospitalist in Greenville, SC

Active since June 22, 2013PECOS EnrolledAccepts Medicare Assignment
701 GROVE RD FL 5, GREENVILLE, SC 29605(864) 455-4411(864) 455-4480 Get Directions Write a Review

NPPES record last updated: May 25, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 25, 2021, Mar 19, 2020, Apr 22, 2019 (3 updates tracked since 2019).

About Mohamed Mustafa Elsunni M.d. NPPES

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

MOHAMED MUSTAFA ELSUNNI M.D. (NPI 1376982348) is an individual hospitalist provider in Greenville, South Carolina, licensed in South Carolina (83628) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with Spartanburg Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1376982348
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameMOHAMED MUSTAFA ELSUNNICredential: M.D.
Location Address701 GROVE RD FL 5Greenville, SC 29605-4210
Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842 · (864) 522-8603
Phone(864) 455-4411
Fax(864) 455-4480
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 2013
Enumeration DateJune 22, 2013
Last NPPES UpdateMay 25, 20213 updates tracked since enumeration
NPPES CertifiedMay 25, 2021
✔ NPI 1376982348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in SC · 83628
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 4301103594 (MI)
701 GROVE RD FL 5, Greenville, SC 29605
Open in Google Maps ↗

Secondary Practice Locations 2

Location 118101 Oakwood BlvdDearborn, MI 48124-4089 · Phone (313) 436-2578
Location 21500 E Medical Center DrAnn Arbor, MI 48109-5000 · Phone (734) 936-4000

Other Identifiers 1

Medicaid836288SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina.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

Mohamed Mustafa Elsunni 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 ID9335432327
PECOS Enrollment IDI20200325001838
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 Reassignments

8

Medicare enrollment records show Mohamed Elsunni reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Prisma Health University Medical Group
0.1 mi
Nurse Practitioner
712 GROVE RD
Greenville, SC 29605
  • Reassigned Medicare billing, South Carolina enrollment
  • 3,281 clinicians in this Medicare group
NPI 1053786483 (864) 455-9349
Spartanburg Medical Center
9.6 mi
Family Medicine
398 THE PARKWAY
Greer, SC 29650
  • Reassigned Medicare billing, South Carolina enrollment
  • 754 clinicians in this Medicare group
NPI 1467407536 (864) 877-9577
Pelham Medical Center
11 mi
Internal Medicine
250 WESTMORELAND RD
Greer, SC 29651
  • Reassigned Medicare billing, South Carolina enrollment
  • 313 clinicians in this Medicare group
NPI 1245496983 (864) 560-6619
Musc Community Physicians
131 mi
Internal Medicine
506 NORTH ST
Bamberg, SC 29003
  • Reassigned Medicare billing, South Carolina enrollment
  • 2,389 clinicians in this Medicare group
NPI 1841878006 (803) 245-6290
Cogent Healthcare Of Georgia PC
153 mi
Internal Medicine
400 CHARTER BLVD
Macon, GA 31210
  • Reassigned Medicare billing, South Carolina enrollment
  • 268 clinicians in this Medicare group
NPI 1609827823 (478) 757-8200
Mcleod Regional Medical Center Of The Pee Dee, Inc
157 mi
Emergency Medical Services
555 E CHEVES ST
Florence, SC 29506
  • Reassigned Medicare billing, South Carolina enrollment
  • 816 clinicians in this Medicare group
NPI 1154371433 (843) 777-2000
Comprehensive Hospital Care P C
515 mi
Internal Medicine
23300 ECORSE RD
Taylor, MI 48180
  • Reassigned Medicare billing, Michigan enrollment
  • Medicare enrollment name: Comprehensive Hospital Care PC
  • 13 clinicians in this Medicare group
NPI 1891926408 (313) 291-9500
Sound Inpatient Physicians-Michigan, PLLC
544 mi
Internal Medicine
1521 GULL RD
Kalamazoo, MI 49048
  • Reassigned Medicare billing, Michigan enrollment
  • 596 clinicians in this Medicare group
NPI 1093967861 (269) 226-7000

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 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.
354 services137 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.
134 services130 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
130 services121 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.
45 services28 patients

Hospital Affiliations CMS Care Compare 4

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

Spartanburg Medical Center

Acute Care Hospitals · Spartanburg, SC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420007
Location101 E Wood StSpartanburg, SC 29303 · Spartanburg County
Emergency services Birthing friendly

Prisma Health Laurens County Hospital

Acute Care Hospitals · Clinton, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420038
Location22725 Highway 76 EastClinton, SC 29325 · Laurens County
Emergency services Birthing friendly

Prisma Health Greenville Memorial Hospital

Acute Care Hospitals · Greenville, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420078
Location701 Grove RoadGreenville, SC 29605 · Greenville County
Birthing friendly

Pelham Medical Center

Acute Care Hospitals · Greer, SC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420103
Location250 Westmoreland RoadGreer, SC 29651 · Greenville County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29605 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
$124.04 typical visit price
range $53.57 – $163.84
Typical copayment $31.01 (range $13.39 – $40.96)
Most-billed visit code 99204
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

BENJAMIN ELLIS RAWLS M.D.
Hospitalist
701 GROVE RD FL 5
GREENVILLE, SC 29605
Greenville County (864) 455-4411
EMILY CATHRYN STIELOW PA-C
Physician Assistant
701 GROVE RD FL 5
GREENVILLE, SC 29605
Greenville County (864) 455-4411
DR. FARNEL F BACKER M.D.
Hospitalist
701 GROVE RD FL 5
GREENVILLE, SC 29605
Greenville County (864) 455-4411
VEDANG RAJIV PATEL MD
Hospitalist
701 GROVE RD FL 5
GREENVILLE, SC 29605
Greenville County (864) 455-4411
ROBERT BRUNSON CARTLEDGE JR. M.D.
Hospitalist
701 GROVE RD FL 5
GREENVILLE, SC 29605
Greenville County (864) 455-4411
COURTNEY ANN HUNT
Nurse Practitioner (Acute Care)
701 GROVE RD FL 5
GREENVILLE, SC 29605
Greenville County (864) 455-4411
DR. MORGAN ABRIAL BALL MD
Hospitalist
701 GROVE RD FL 5
GREENVILLE, SC 29605
Greenville County (864) 455-4411
RENEE MILLER
Hospitalist
701 GROVE RD FL 5
GREENVILLE, SC 29605
Greenville County (864) 455-4411

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 Mohamed Elsunni's NPI number?

The NPI number for Mohamed Elsunni is 1376982348. It was assigned to this individual provider in the NPPES registry on June 22, 2013.

Where is Mohamed Elsunni located?

Mohamed Elsunni practices at 701 Grove Rd Fl 5, Greenville, SC 29605. The listed phone number is (864) 455-4411.

What is Mohamed Elsunni's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Mohamed Elsunni enrolled in Medicare?

Yes. Mohamed Elsunni 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 organizations bill Medicare for Mohamed Elsunni's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mohamed Elsunni reassigns Medicare benefits to 8 organizations: Prisma Health University Medical Group (Greenville, SC), Spartanburg Medical Center (Greer, SC), Pelham Medical Center (Greer, SC), Musc Community Physicians (Bamberg, SC), Cogent Healthcare Of Georgia PC (Macon, GA) and 3 more organizations, listed in the Medicare section above. Each 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 Mohamed Elsunni's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mohamed Elsunni accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care and Ambetter of North Carolina list Mohamed Elsunni 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 Mohamed Elsunni affiliated with any hospitals?

According to CMS data, Mohamed Elsunni is affiliated with Spartanburg Medical Center, Prisma Health Laurens County Hospital, Prisma Health Greenville Memorial Hospital and Pelham Medical Center.

When was this NPI record last updated?

The NPPES record for Mohamed Elsunni was last updated on May 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.