DR. ELTON MUSTAFARAJ D.O.
NPI 1396009072
Radiology - Neuroradiology in Burlington, WI
About Dr. Elton Mustafaraj D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ELTON MUSTAFARAJ D.O. (NPI 1396009072) is an individual neuroradiology provider in Burlington, Wisconsin, licensed in Wisconsin (66935-21) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with Aurora Lakeland Medical Center, and maintains a secondary practice location in Mequon.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 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
Dr. Elton Mustafaraj D.o. 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 Reassignments
9Medicare enrollment records show Elton Mustafaraj reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Mount Pleasant, WI 53177
- Reassigned Medicare billing, Wisconsin enrollment
- 237 clinicians in this Medicare group
Greenfield, WI 53220
- Reassigned Medicare billing, Wisconsin enrollment
- 44 clinicians in this Medicare group
West Allis, WI 53227
- Reassigned Medicare billing, Wisconsin enrollment
- 4,609 clinicians in this Medicare group
South Milwaukee, WI 53172
- Reassigned Medicare billing, Wisconsin enrollment
- 960 clinicians in this Medicare group
Milwaukee, WI 53211
- Reassigned Medicare billing, Wisconsin enrollment
- Medicare enrollment name: Columbia St Marys Hospital Milwaukee Inc
- 856 clinicians in this Medicare group
Milwaukee, WI 53209
- Reassigned Medicare billing, Wisconsin enrollment
- 1,615 clinicians in this Medicare group
Mequon, WI 53092
- Reassigned Medicare billing, Illinois and Wisconsin enrollments
- 59 clinicians in this Medicare group
Mequon, WI 53092
- Reassigned Medicare billing, Wisconsin enrollment
- 44 clinicians in this Medicare group
Dickson, TN 37055
- Reassigned Medicare billing, Tennessee enrollment
- 200 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 38
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 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Aurora Lakeland Medical Center
Acute Care Hospitals · Elkhorn, WIAurora St Lukes Medical Center
Acute Care Hospitals · Milwaukee, WIWest Allis Memorial Hospital
Acute Care Hospitals · West Allis, WIAurora Medical Center Kenosha
Acute Care Hospitals · Kenosha, WIAurora Medical Center
Acute Care Hospitals · Grafton, WIMedicare 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BURLINGTON, WI 53105
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 Elton Mustafaraj's NPI number?
The NPI number for Elton Mustafaraj is 1396009072. It was assigned to this individual provider in the NPPES registry on June 27, 2012.
Where is Elton Mustafaraj located?
Elton Mustafaraj practices at 252 Mchenry St, Burlington, WI 53105. The listed phone number is (262) 767-6000.
What is Elton Mustafaraj's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Neuroradiology, with taxonomy code 2085N0700X.
Is Elton Mustafaraj enrolled in Medicare?
Yes. Elton Mustafaraj 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 Elton Mustafaraj's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Elton Mustafaraj reassigns Medicare benefits to 9 organizations: Premier Radiology Wisconsin, LLC (Mount Pleasant, WI), Milwaukee Radiologists Ltd (Greenfield, WI), Aurora Medical Group, Inc. (West Allis, WI), Lakeshore Medical Clinic Ltd (South Milwaukee, WI), Columbia St. Mary's Hospital Milwaukee, Inc (Milwaukee, WI) and 4 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 Elton Mustafaraj's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Elton Mustafaraj accept?
Health plans from CareSource (Common Ground Healthcare) list Elton Mustafaraj 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 Elton Mustafaraj affiliated with any hospitals?
According to CMS data, Elton Mustafaraj is affiliated with Aurora Lakeland Medical Center, Aurora St Lukes Medical Center, West Allis Memorial Hospital, Aurora Medical Center Kenosha and Aurora Medical Center.
When was this NPI record last updated?
The NPPES record for Elton Mustafaraj was last updated on February 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.