SHIHAB AL-DEEN MUSTAFA
NPI 1467166512
Physician Assistant in Winter Haven, FL

Q: What is Shihab Al-deen Mustafa's NPI number?

The NPI number for Shihab Al-deen Mustafa is 1467166512. It was assigned to this individual provider in the NPPES registry on January 12, 2023.

Q: What is Shihab Al-deen Mustafa's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Active since January 12, 2023PECOS EnrolledAccepts Medicare Assignment

550 POPE AVE NW STE 200, WINTER HAVEN, FL 33881(863) 299-2630 Get Directions Write a Review

NPPES record last updated: February 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 27, 2025, Jan 12, 2023 (2 updates tracked since 2023).

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About Shihab Al-deen Mustafa NPPES

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

SHIHAB AL-DEEN MUSTAFA (NPI 1467166512) is an individual physician assistant in Winter Haven, Florida and active in the NPI registry since January 2023. He is enrolled in Medicare PECOS, maintains a secondary practice location in Seffner, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1467166512

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameSHIHAB AL-DEEN MUSTAFA

Location Address550 POPE AVE NW STE 200Winter Haven, FL 33881-4679

Mailing Address425 W Colonial Dr Ste 303Orlando, FL 32804-6863 · (321) 343-6833

Phone(863) 299-2630

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateJanuary 12, 2023

Last NPPES UpdateFebruary 27, 20252 updates tracked since enumeration

NPPES CertifiedFebruary 27, 2025

✔ NPI 1467166512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

550 POPE AVE NW STE 200, Winter Haven, FL 33881

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Secondary Practice Location 1

Location 1305 Dakota Hill DrSeffner, FL 33584-5028 · Phone (813) 802-3964

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

Shihab Al-deen Mustafa 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 ID3779016696

PECOS Enrollment IDI20241031000661

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 33881 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 12

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

ELIZABETH MARGARET ENNIS PA-C

Physician Assistant