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HISHAM AHMED MUSHTAQ MD
NPI 1386393866
Internal Medicine in Bridgeport, CT

Active since March 22, 2022PECOS EnrolledAccepts Medicare Assignment
2800 MAIN STREET, DEPARTMENT OF MEDICINE, BRIDGEPORT, CT 06606(475) 210-5425 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Hisham Ahmed Mushtaq Md NPPES

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

HISHAM AHMED MUSHTAQ MD (NPI 1386393866) is an individual internal medicine provider in Bridgeport, Connecticut, licensed in Virginia (0101284318) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS, is affiliated with Bon Secours Southside Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1386393866
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameHISHAM AHMED MUSHTAQCredential: MD
Location Address2800 MAIN STREET, DEPARTMENT OF MEDICINEBridgeport, CT 06606
Mailing Address2800 Main Street, Department Of MedicineBridgeport, CT 06606 · (475) 210-5425
Phone(475) 210-5425
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 22, 2022
Last NPPES UpdateJune 30, 2025
NPPES CertifiedJune 30, 2025
✔ NPI 1386393866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in VA · 0101284318
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2800 MAIN STREET, DEPARTMENT OF MEDICINE, Bridgeport, CT 06606
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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

Hisham Ahmed Mushtaq Md 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 ID5597267179
PECOS Enrollment IDI20250903004240
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.

Bon Secours Southside Medical Center

Acute Care Hospitals · Petersburg, VA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number490067
Location200 Medical Park BoulevardPetersburg, VA 23805 · Petersburg City County
Emergency services Birthing friendly

Bon Secours Southern Virginia Medical Center

Acute Care Hospitals · Emporia, VA
OwnershipProprietary
CMS Certification Number490097
Location727 North Main StreetEmporia, VA 23847 · Emporia City County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06606 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

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 Hisham Mushtaq's NPI number?

The NPI number for Hisham Mushtaq is 1386393866. It was assigned to this individual provider in the NPPES registry on March 22, 2022.

Where is Hisham Mushtaq located?

Hisham Mushtaq practices at 2800 Main Street, Department Of Medicine, Bridgeport, CT 06606. The listed phone number is (475) 210-5425.

What is Hisham Mushtaq's specialty?

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

Is Hisham Mushtaq enrolled in Medicare?

Yes. Hisham Mushtaq 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.

Is Hisham Mushtaq affiliated with any hospitals?

According to CMS data, Hisham Mushtaq is affiliated with Bon Secours Southside Medical Center and Bon Secours Southern Virginia Medical Center.

When was this NPI record last updated?

The NPPES record for Hisham Mushtaq was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.