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HASSAN ABDALLA MUSTAFA
NPI 1497575005
Dentist in Brockton, MA

Active since October 16, 2024PECOS Enrolled
63 MAIN ST, BROCKTON, MA 02301(508) 894-3681(508) 559-5073 Get Directions Write a Review

NPPES record last updated: October 16, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Hassan Abdalla Mustafa NPPES

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

HASSAN ABDALLA MUSTAFA (NPI 1497575005) is an individual dentist in Brockton, Massachusetts, licensed in Massachusetts (DL100216) and active in the NPI registry since October 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497575005
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameHASSAN ABDALLA MUSTAFA
Location Address63 MAIN STBrockton, MA 02301-4042
Mailing Address4224 Avalon DrActon, MA 01720-3456 · (754) 308-9573
Phone(508) 894-3681
Fax(508) 559-5073
Sole ProprietorNo
Enumeration DateOctober 16, 2024
NPPES CertifiedOctober 16, 2024
✔ NPI 1497575005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MA · DL100216
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
63 MAIN ST, Brockton, MA 02301
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hassan Abdalla Mustafa 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 02301 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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.

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.

GLORIA IBARRA M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
63 MAIN ST
BROCKTON, MA 02301
Plymouth County (508) 559-6699
SAIRA GHANY
Dental Hygienist
63 MAIN ST
BROCKTON, MA 02301
Plymouth County (508) 559-6699
JANINA MARIE COLAVITA NP
Nurse Practitioner (Adult Health)
63 MAIN ST
BROCKTON, MA 02301
Plymouth County (508) 894-3473
ELSIE VARUGHESE M.D.
Internal Medicine
63 MAIN ST
BROCKTON, MA 02301
Plymouth County (508) 559-6699
DR. TRANG THANH NGUYEN DMD
Dentist (General Practice)
63 MAIN ST
BROCKTON, MA 02301
Plymouth County (508) 559-6699
SHEINA JEAN-MARIE DMD
Dentist (General Practice)
63 MAIN ST
BROCKTON, MA 02301
Plymouth County (508) 559-6699
JACQUELINE SPENCER
Registered Nurse
63 MAIN ST
BROCKTON, MA 02301
Plymouth County (508) 559-6699
MICHELLE HOFFMAN
Advanced Practice Midwife
63 MAIN ST
BROCKTON, MA 02301
Plymouth County (508) 559-6699

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 Hassan Mustafa's NPI number?

The NPI number for Hassan Mustafa is 1497575005. It was assigned to this individual provider in the NPPES registry on October 16, 2024.

Where is Hassan Mustafa located?

Hassan Mustafa practices at 63 Main St, Brockton, MA 02301. The listed phone number is (508) 894-3681.

What is Hassan Mustafa's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Hassan Mustafa enrolled in Medicare?

Yes. Hassan Mustafa is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Hassan Mustafa was last updated on October 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.