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USAMA M MOUSTAFA MD
NPI 1447439922
Pediatrics in La Porte, IN

Active since October 31, 2007PECOS Enrolled
1509 STATE ST, LA PORTE, IN 46350(219) 324-3431(219) 362-3802 Get Directions Write a Review

NPPES record last updated: September 16, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 16, 2020, Sep 10, 2020, Aug 19, 2020 (3 updates tracked since 2020).

About Usama M Moustafa Md NPPES

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

USAMA M MOUSTAFA MD (NPI 1447439922) is an individual pediatrics provider in La Porte, Indiana, licensed in Indiana (01064003A) and active in the NPI registry since October 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1447439922
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameUSAMA M MOUSTAFACredential: MD
Location Address1509 STATE STLa Porte, IN 46350-3115
Mailing AddressPo Box 1690La Porte, IN 46352-1690 · (219) 326-2312 · Fax (219) 326-2584
Phone(219) 324-3431
Fax(219) 362-3802
Sole ProprietorNo
Enumeration DateOctober 31, 2007
Last NPPES UpdateSeptember 16, 20203 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2020
✔ NPI 1447439922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in IN · 01064003A
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1509 STATE ST, La Porte, IN 46350
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Other Identifiers 2

Medicaid200877280IN
Other000000542445IN · Anthem, Blue Cross Blue Shield

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Usama M Moustafa Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 46350 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. HADEILY EVANGELINA SALAZAR HERNANDEZ M.D
Pediatrics
1509 STATE ST
LA PORTE, IN 46350
Laporte County (219) 324-3431
ERIKA PETTIS
Obstetrics & Gynecology
1509 STATE ST
LA PORTE, IN 46350
Laporte County (219) 326-5700
MRS. KRYSTINA GLORIA DONOGHUE OTRL
Occupational Therapist
1509 STATE ST
LA PORTE, IN 46350
Laporte County (219) 325-4649
DR. LYJIA O'LAYINKA STRACHAN M.D.
Obstetrics & Gynecology
1509 STATE ST
LA PORTE, IN 46350
Laporte County (219) 326-5700
JULIUS RODNEY ELLIS MD FACOG
Obstetrics & Gynecology
1509 STATE ST
LA PORTE, IN 46350
Laporte County (219) 362-4690
MORGAN HARDESTY
Speech-Language Pathologist
1509 STATE ST
LA PORTE, IN 46350
Laporte County (219) 324-3431
GLORIOUS LATRIC WILSON-REYNOLDS CPNP
Nurse Practitioner (Pediatrics)
1509 STATE ST
LA PORTE, IN 46350
Laporte County (219) 324-3431
HEATHER FIX
Nurse Practitioner (Family)
1509 STATE ST
LA PORTE, IN 46350
Laporte County (219) 324-3431

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 Usama Moustafa's NPI number?

The NPI number for Usama Moustafa is 1447439922. It was assigned to this individual provider in the NPPES registry on October 31, 2007.

Where is Usama Moustafa located?

Usama Moustafa practices at 1509 State St, La Porte, IN 46350. The listed phone number is (219) 324-3431.

What is Usama Moustafa's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Usama Moustafa enrolled in Medicare?

Yes. Usama Moustafa is registered in the Medicare PECOS enrollment system.

What insurance does Usama Moustafa accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Usama Moustafa 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.

When was this NPI record last updated?

The NPPES record for Usama Moustafa was last updated on September 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.