MUSTAFA KAISI
NPI 1457742934
Internal Medicine in Providence, RI
About Mustafa Kaisi NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MUSTAFA KAISI (NPI 1457742934) is an individual internal medicine provider in Providence, Rhode Island, licensed in Rhode Island (MD15464) and active in the NPI registry since February 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2003).
NPPES Registry Identity
Specialties & Licenses
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
Mustafa Kaisi 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
2Medicare enrollment records show Mustafa Kaisi reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
El Cajon, CA 92020
- Reassigned Medicare billing, California enrollment
- 87 clinicians in this Medicare group
San Diego, CA 92123
- Reassigned Medicare billing, California enrollment
- 1,437 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 7
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02906 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 3
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
PROVIDENCE, RI 02906
PROVIDENCE, RI 02906
PROVIDENCE, RI 02906
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 Mustafa Kaisi's NPI number?
The NPI number for Mustafa Kaisi is 1457742934. It was assigned to this individual provider in the NPPES registry on February 5, 2015.
Where is Mustafa Kaisi located?
Mustafa Kaisi practices at 164 Summit Ave, Providence, RI 02906. The listed phone number is (401) 793-2104.
What is Mustafa Kaisi's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Mustafa Kaisi enrolled in Medicare?
Yes. Mustafa Kaisi 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 Mustafa Kaisi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mustafa Kaisi reassigns Medicare benefits to 2 organizations: San Diego Critical Care Medical Group, Inc (El Cajon, CA) and Emergency And Acute Care Medical Corporation (San Diego, CA). 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 Mustafa Kaisi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Mustafa Kaisi was last updated on June 22, 2016. 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.
# Mustafa Kaisi · NPI 1457742934
Internal Medicine physician in Providence, Rhode Island. Individual provider, active in the CMS NPPES registry since February 5, 2015.
## Identity
- **NPI:** 1457742934 (Entity type: Individual)
- **Enumerated:** February 5, 2015
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** MD15464 (Rhode Island)
- **Sole proprietor:** No
## Practice location
- **Address:** 164 SUMMIT AVE, Providence, RI 02906-2853
- **Phone:** (401) 793-2104 · **Fax:** (401) 793-4047
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): San Diego Critical Care Medical Group, Inc (NPI 1609915990, El Cajon, CA); Emergency And Acute Care Medical Corporation (NPI 1437103942, San Diego, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2003
## Record status
- **NPPES last updated:** June 22, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1457742934) · Data from the CMS NPPES public registry.