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MOUSAB MOHAMMED IBRAHIM MOKHTAR
NPI 1386365864
Internal Medicine in Pueblo, CO

Active since September 05, 2022PECOS EnrolledAccepts Medicare Assignment
400 W 16TH ST, PUEBLO, CO 81003(719) 544-1488 Get Directions Write a Review

NPPES record last updated: September 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 5, 2025, Sep 5, 2022 (2 updates tracked since 2022).

About Mousab Mohammed Ibrahim Mokhtar NPPES

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

MOUSAB MOHAMMED IBRAHIM MOKHTAR (NPI 1386365864) is an individual internal medicine provider in Pueblo, Colorado, licensed in Colorado (DR.0075660) and active in the NPI registry since September 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1386365864
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMOUSAB MOHAMMED IBRAHIM MOKHTAR
Location Address400 W 16TH STPueblo, CO 81003-2745
Mailing Address2695 Rocky Mountain Ave Ste 150Loveland, CO 80538-9071
Phone(719) 544-1488
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 5, 2022
Last NPPES UpdateSeptember 5, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2025
✔ NPI 1386365864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CO · DR.0075660
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.
400 W 16TH ST, Pueblo, CO 81003
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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

Mousab Mohammed Ibrahim Mokhtar 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 ID9032625645
PECOS Enrollment IDI20250721003696
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81003 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
$132.55 typical visit price
range $58.06 – $174.82
Typical copayment $33.13 (range $14.51 – $43.70)
Most-billed visit code 99204
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

MISS EMILY ANNE KEARNEY RDN
Dietitian, Registered
400 W 16TH ST
PUEBLO, CO 81003
Pueblo County (719) 584-4994
CHRISTOPHER JON STARK
Internal Medicine
400 W 16TH ST
PUEBLO, CO 81003
Pueblo County (719) 595-2218
MARY RUSSO DO
Emergency Medicine
400 W 16TH ST
PUEBLO, CO 81003
Pueblo County (719) 584-4306
DR. DARYA BLEDNOVA MD
Internal Medicine
400 W 16TH ST
PUEBLO, CO 81003
Pueblo County (970) 624-2403
LARA KJURSTON KNOWLES CRNA
Nurse Anesthetist, Certified Registered
400 W 16TH ST
PUEBLO, CO 81003
Pueblo County (719) 584-4000
KAYLA TOENNIS DO
Internal Medicine
400 W 16TH ST
PUEBLO, CO 81003
Pueblo County (719) 595-7585
DR. SHAUN MICHAEL PITTS DO
Internal Medicine
400 W 16TH ST
PUEBLO, CO 81003
Pueblo County (719) 595-7585
JAMIE YI
Nurse Anesthetist, Certified Registered
400 W 16TH ST
PUEBLO, CO 81003
Pueblo County (719) 584-4000

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 Mousab Mokhtar's NPI number?

The NPI number for Mousab Mokhtar is 1386365864. It was assigned to this individual provider in the NPPES registry on September 5, 2022.

Where is Mousab Mokhtar located?

Mousab Mokhtar practices at 400 W 16th St, Pueblo, CO 81003. The listed phone number is (719) 544-1488.

What is Mousab Mokhtar's specialty?

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

Is Mousab Mokhtar enrolled in Medicare?

Yes. Mousab Mokhtar 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.

When was this NPI record last updated?

The NPPES record for Mousab Mokhtar was last updated on September 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.