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DR. MAHMOUD H. MUSTAFA MD
NPI 1437118197
Internal Medicine in Washington, DC

Active since March 21, 2006PECOS EnrolledAccepts Medicare Assignment
2311 M ST NW, SUITE 401, WASHINGTON, DC 20037(202) 331-3338(202) 223-9130 Get Directions Write a Review

NPPES record last updated: October 28, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mahmoud H. Mustafa Md NPPES

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

DR. MAHMOUD H. MUSTAFA MD (NPI 1437118197) is an individual internal medicine provider in Washington, District Of Columbia, licensed in District Of Columbia (MD15650) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of George Washington University School Of Medicine (1982).

NPPES Registry Identity

NPI1437118197
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. MAHMOUD H. MUSTAFACredential: MD
Location Address2311 M ST NW, SUITE 401Washington, DC 20037-1445
Mailing Address2311 M St Nw, Suite 401Washington, DC 20037-1445 · (202) 331-3338 · Fax (202) 223-9130
Phone(202) 331-3338
Fax(202) 223-9130
Sole ProprietorYes
Medical School CMSGeorge Washington University School Of MedicineGraduated 1982
Enumeration DateMarch 21, 2006
Last NPPES UpdateOctober 28, 2015
✔ NPI 1437118197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in DC · MD15650
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.
2311 M ST NW, Washington, DC 20037
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Other Names 1

Professional Name (2)Mahmoud H. Mustafa, Md, Facp, Pc

Other Identifiers 1

Medicare UPINB93274DC

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. Mahmoud H. Mustafa 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 ID2466430897
PECOS Enrollment IDI20040712000595, I20141222001693, I20150310000932
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 5

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
185 services90 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
115 services78 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
81 services78 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
67 services67 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
16 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20037 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
98%7,418 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
89%452 patients5/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
90%500 patients3/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
88%1,691 patients4/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%1,641 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
87%1,641 patients4/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
79%1,641 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

MAJD RAOUF MD
Internal Medicine
2311 M ST NW
WASHINGTON, DC 20037
District of Columbia (202) 296-0034
BRUCE G BONN M.D.
Obstetrics & Gynecology (Gynecology)
2311 M ST NW, SUITE 304
WASHINGTON, DC 20037
District of Columbia (202) 331-0577
TSJ KU PLLC
Clinic/Center (Dental)
2311 M ST NW, SUITE 305
WASHINGTON, DC 20037
District of Columbia (202) 419-7587
ASHLEY WILL L.AC.
Acupuncturist
2311 M ST NW, STE 301
WASHINGTON, DC 20037
District of Columbia (202) 429-3783
MAHMOUD H MUSTAFA, MD, FACP, PC
Internal Medicine
2311 M ST NW, SUITE 401
WASHINGTON, DC 20037
District of Columbia (202) 331-3338
DR. BILAL AHMED
Dentist
2311 M ST NW, SUITE 400
WASHINGTON, DC 20037
District of Columbia (202) 296-5142
DR. CHRISTOPHER MULLANY MCMACKIN MD
Internal Medicine
2311 M ST NW, SUITE 302
WASHINGTON, DC 20037
District of Columbia (202) 296-0043
MRS. ARVELLA BERNADETTE BING CRNA
Nurse Anesthetist, Certified Registered
2311 M ST NW
WASHINGTON, DC 20037
District of Columbia (410) 531-5083

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 Mahmoud Mustafa's NPI number?

The NPI number for Mahmoud Mustafa is 1437118197. It was assigned to this individual provider in the NPPES registry on March 21, 2006. The provider is also known as Mahmoud H. Mustafa, MD, Facp, PC.

Where is Mahmoud Mustafa located?

Mahmoud Mustafa practices at 2311 M St NW Suite 401, Washington, DC 20037. The listed phone number is (202) 331-3338.

What is Mahmoud Mustafa's specialty?

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

Is Mahmoud Mustafa enrolled in Medicare?

Yes. Mahmoud Mustafa 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 Mahmoud Mustafa was last updated on October 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.