SHADI SUHAIL MUSTAFA MD
NPI 1508356460
Family Medicine in Waterloo, IA

Active since May 16, 2018PECOS EnrolledAccepts Medicare Assignment
2055 KIMBALL AVE STE 101, WATERLOO, IA 50702(319) 272-2112(319) 272-2107 Get Directions Write a Review

NPPES record last updated: May 16, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shadi Suhail Mustafa Md NPPES

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

SHADI SUHAIL MUSTAFA MD (NPI 1508356460) is an individual family medicine provider in Waterloo, Iowa, licensed in Iowa (R-11097) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1508356460
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSHADI SUHAIL MUSTAFACredential: MD
Location Address2055 KIMBALL AVE STE 101Waterloo, IA 50702-5047
Mailing Address2055 Kimball Ave Ste 101Waterloo, IA 50702-5047 · (319) 272-2112 · Fax (319) 272-2107
Fax(319) 272-2107
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMay 16, 2018
NPI 1508356460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IA · R-11097
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2055 KIMBALL AVE STE 101, Waterloo, IA 50702

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 and accepts Medicare assignment

Shadi Suhail Mustafa Md 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 ID6901155613
PECOS Enrollment IDI20220912002414
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.

Areas of Expertise CMS Part B claims 14

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
401 services373 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
127 services125 patients
Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19) and influenza virus types a and b 87636
This test detects the presence of SARS-CoV-2 (COVID-19) and Influenza types A and B in your body. It uses a method called the multiplex amplified probe technique to amplify and identify specific virus genes. It helps in early diagnosis and appropriate treatment.
65 services64 patients
Manual urinalysis test with examination using microscope, automated 81001
A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.
52 services48 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
46 services46 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
43 services42 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50702 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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.

Family Medicine
2055 KIMBALL AVE STE 101
WATERLOO, IA 50702
Family Medicine
2055 KIMBALL AVE STE 101
WATERLOO, IA 50702
Social Worker (Clinical)
2055 KIMBALL AVE STE 101
WATERLOO, IA 50702
Family Medicine
2055 KIMBALL AVE STE 101
WATERLOO, IA 50702
Physician Assistant
2055 KIMBALL AVE STE 101
WATERLOO, IA 50702
Family Medicine
2055 KIMBALL AVE STE 101
WATERLOO, IA 50702
Family Medicine
2055 KIMBALL AVE STE 101
WATERLOO, IA 50702
Family Medicine
2055 KIMBALL AVE STE 101
WATERLOO, IA 50702

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 Shadi Mustafa's NPI number?

The NPI number for Shadi Mustafa is 1508356460. It was assigned to this individual provider in the NPPES registry on May 16, 2018.

Where is Shadi Mustafa located?

Shadi Mustafa practices at 2055 Kimball Ave Ste 101, Waterloo, IA 50702. The listed phone number is (319) 272-2112.

What is Shadi Mustafa's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Shadi Mustafa enrolled in Medicare?

Yes. Shadi Mustafa 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.

What insurance does Shadi Mustafa accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 4 other insurers list Shadi Mustafa 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 Shadi Mustafa was last updated on May 16, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.