GHULAM MUSTAFA LLC
NPI 1477061612
Internal Medicine in Show Low, AZ

Active since January 22, 2018
2401 E HUNT DR, SHOW LOW, AZ 85901(928) 537-5333(928) 537-1762 Get Directions Write a Review

NPPES record last updated: January 22, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ghulam Mustafa Llc NPPES

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

GHULAM MUSTAFA LLC (NPI 1477061612) is a healthcare organization registered as an internal medicine in Show Low, Arizona and active in the NPI registry since January 2018. The organization lists Osaf Ahmed, Member, as its authorized official.

NPPES Registry Identity

NPI1477061612
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameGHULAM MUSTAFA LLC
Location Address2401 E HUNT DRShow Low, AZ 85901-7920
Mailing Address6989 N Starlight Ridge PkwyLakeside, AZ 85929-5086 · (520) 269-3473
Fax(928) 537-1762
Organization SubpartNo
Authorized OfficialOsaf AhmedMember · (520) 269-3473
Enumeration DateJanuary 22, 2018
✔ NPI 1477061612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in AZ · 29210
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.
2401 E HUNT DR, Show Low, AZ 85901

Other Identifiers 1

Other29210AZ · Medical License

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ghulam Mustafa Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Ghulam Mustafa LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1396775680
1120 S DOBSON RD BLDG B STE 225
Chandler, AZ 85286
(480) 728-5460
✔ PECOS✔ Accepts Medicare124 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Ghulam Mustafa LLC's NPI number?

The NPI number for Ghulam Mustafa LLC is 1477061612. It was assigned to this organization in the NPPES registry on January 22, 2018.

Where is Ghulam Mustafa LLC located?

Ghulam Mustafa LLC is located at 2401 E Hunt Dr, Show Low, AZ 85901. The listed phone number is (928) 537-5333.

What is Ghulam Mustafa LLC's specialty?

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

Is Ghulam Mustafa LLC enrolled in Medicare?

Yes. Ghulam Mustafa LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ghulam Mustafa LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Ghulam Mustafa LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Ghulam Mustafa LLC was last updated on January 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.