ABDELMONIEM MOUSTAFA MD
NPI 1477937696
Internal Medicine - Clinical Cardiac Electrophysiology in Providence, RI

Active since July 17, 2015PECOS Enrolled
164 SUMMIT AVE, PROVIDENCE, RI 02906(401) 793-4489 Get Directions Write a Review

NPPES record last updated: June 14, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Abdelmoniem Moustafa Md NPPES

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

ABDELMONIEM MOUSTAFA MD (NPI 1477937696) is an individual clinical cardiac electrophysiology provider in Providence, Rhode Island, licensed in Minnesota (82055) and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1477937696
Entity TypeIndividualMale
Primary Taxonomy207RC0001X
Provider Legal NameABDELMONIEM MOUSTAFACredential: MD
Location Address164 SUMMIT AVEProvidence, RI 02906-2853
Mailing Address117 Ellenfield St Ste 101Providence, RI 02905-4513 · (401) 444-6779 · Fax (401) 444-6912
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateJuly 17, 2015
Last NPPES UpdateJune 14, 2026
NPPES CertifiedJune 14, 2026
NPI 1477937696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Clinical Cardiac ElectrophysiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RC0001X
License Licensed in MN · 82055
Definition
A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD16240 (RI)
164 SUMMIT AVE, Providence, RI 02906

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted 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)

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

PECOS PAC ID3678878428
PECOS Enrollment IDI20250827003167, I20260603003891
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 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.

New Patient
$134.17 typical visit price
range $58.57 – $177.03
Typical copayment $33.54 (range $14.64 – $44.25)
Most-billed visit code 99204
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
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 20

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

Nurse Practitioner (Family)
164 SUMMIT AVE, THE MIRIAM HOSPITAL
PROVIDENCE, RI 02906
Internal Medicine
164 SUMMIT AVE, FAIN BLDG.
PROVIDENCE, RI 02906
Internal Medicine (Cardiovascular Disease)
164 SUMMIT AVE, FAIN BLDG
PROVIDENCE, RI 02906
Social Worker (Clinical)
164 SUMMIT AVE
PROVIDENCE, RI 02906
Internal Medicine (Cardiovascular Disease)
164 SUMMIT AVE
PROVIDENCE, RI 02906
Internal Medicine
164 SUMMIT AVE
PROVIDENCE, RI 02906
Emergency Medicine
164 SUMMIT AVE
PROVIDENCE, RI 02906
Psychiatry & Neurology (Psychiatry)
164 SUMMIT AVE
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 Abdelmoniem Moustafa's NPI number?

The NPI number for Abdelmoniem Moustafa is 1477937696. It was assigned to this individual provider in the NPPES registry on July 17, 2015.

Where is Abdelmoniem Moustafa located?

Abdelmoniem Moustafa practices at 164 Summit Ave, Providence, RI 02906. The listed phone number is (401) 793-4489.

What is Abdelmoniem Moustafa's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Clinical Cardiac Electrophysiology, with taxonomy code 207RC0001X.

Is Abdelmoniem Moustafa enrolled in Medicare?

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

What insurance does Abdelmoniem Moustafa accept?

Health plans from CareSource list Abdelmoniem 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 Abdelmoniem Moustafa was last updated on June 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.