DR. ELTON MUSTAFARAJ D.O.
NPI 1396009072
Radiology - Neuroradiology in Burlington, WI

Active since June 27, 2012PECOS EnrolledAccepts Medicare Assignment
81.58/100
CMS Quality Rating
252 MCHENRY ST, BURLINGTON, WI 53105(262) 767-6000 Get Directions Write a Review

NPPES record last updated: February 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 11, 2025, Nov 17, 2023, Feb 18, 2020 and 1 more (4 updates tracked since 2019).

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

NPI1396009072
Entity TypeIndividualMale
Primary Taxonomy2085N0700X
Provider Legal NameDR. ELTON MUSTAFARAJCredential: D.O.
Location Address252 MCHENRY STBurlington, WI 53105-1828
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Sole ProprietorNo
Medical School CMSDes Moines University Of Osteopathic Medicine And Health SciencesGraduated 2012
Enumeration DateJune 27, 2012
Last NPPES UpdateFebruary 11, 20254 updates tracked since enumeration
NPPES CertifiedFebruary 11, 2025
NPI 1396009072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRadiology · NeuroradiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085N0700X
License Licensed in WI · 66935-21
Definition
A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License 66935-21 (WI)
252 MCHENRY ST, Burlington, WI 53105

Secondary Practice Location 1

Location 110945 N Port Washington Rd Ste 201Mequon, WI 53092-5078 · Phone (262) 292-3151

Other Identifiers 1

Medicaid100068699WI

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

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.

PECOS PAC ID6901127851
PECOS Enrollment IDI20180611000813
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 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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
497 services479 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
379 services368 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
156 services156 patients
Mri scan of brain without contrast 70551
An MRI scan of the brain without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your brain. It helps in detecting abnormalities like tumors, stroke, inflammation, or infection.
107 services103 patients
X-ray of lower and sacral spine, 2-3 views 72100
An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.
100 services100 patients
X-ray of abdomen, 1 view 74018
An X-ray of the abdomen, 1 view, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the structures in your abdomen, such as the stomach, liver, and intestines. This can help identify issues like blockages, infections, or injuries.
91 services88 patients

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, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520102
LocationW3985 County Road NnElkhorn, WI 53121 · Walworth County
Emergency services Birthing friendly

Aurora St Lukes Medical Center

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520138
Location2900 W Oklahoma AveMilwaukee, WI 53215 · Milwaukee County
Emergency services Birthing friendly

Aurora Medical Center Kenosha

Acute Care Hospitals · Kenosha, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520189
Location10400 75th StKenosha, WI 53142 · Kenosha County
Emergency services Birthing friendly

Aurora Medical Ctr Oshkosh

Acute Care Hospitals · Oshkosh, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520198
Location855 N Westhaven DriveOshkosh, WI 54904 · Winnebago County
Emergency services Birthing friendly

Aurora Medical Center

Acute Care Hospitals · Grafton, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520207
Location975 Port Washington RoadGrafton, WI 53024 · Ozaukee County
Emergency services Birthing friendly

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.

81.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality94.95
Improvement Activities40
Cost41.55

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.

Physical Therapy Assistant
252 MCHENRY ST
BURLINGTON, WI 53105
Hospitalist
252 MCHENRY ST
BURLINGTON, WI 53105
Nurse Practitioner
252 MCHENRY ST
BURLINGTON, WI 53105
Anesthesiology
252 MCHENRY ST
BURLINGTON, WI 53105
Nurse Practitioner
252 MCHENRY ST
BURLINGTON, WI 53105
Emergency Medicine (Emergency Medical Services)
252 MCHENRY ST
BURLINGTON, WI 53105
Physician Assistant
252 MCHENRY ST
BURLINGTON, WI 53105
Emergency Medicine
252 MCHENRY ST
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.

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, Aurora Medical Center Kenosha, Aurora Medical Ctr Oshkosh 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 17 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.