DR. FADI M MUSTAPHA M.D.
NPI 1508801986
Internal Medicine - Gastroenterology in Dixon, IL

Q: What is Fadi Mustapha's NPI number?

The NPI number for Fadi Mustapha is 1508801986. It was assigned to this individual provider in the NPPES registry on June 18, 2006.

Q: What is Fadi Mustapha's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Fadi Mustapha was last updated on August 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since June 18, 2006PECOS EnrolledAccepts Medicare Assignment

82.13/100

CMS Quality Rating

215 E 1ST ST, DIXON, IL 61021(815) 285-5843(815) 285-5846 Get Directions Write a Review

NPPES record last updated: August 22, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Fadi M Mustapha M.d. NPPES

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

DR. FADI M MUSTAPHA M.D. (NPI 1508801986) is an individual gastroenterology provider in Dixon, Illinois, licensed in Illinois (036-115681) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Katherine Shaw Bethea Hospital, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1508801986

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameDR. FADI M MUSTAPHACredential: M.D.

Location Address215 E 1ST STDixon, IL 61021

Mailing Address215 E 1st StDixon, IL 61021-3175 · (815) 285-5843 · Fax (815) 285-5846

Phone(815) 285-5843

Fax(815) 285-5846

Sole ProprietorNo

Medical School CMSOtherGraduated 1999

Enumeration DateJune 18, 2006

Last NPPES UpdateAugust 22, 2018

✔ NPI 1508801986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in IL · 036-115681

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

215 E 1ST ST, Dixon, IL 61021

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Other Identifiers 2

Other036-115681IL · Illinois Medical License

OtherK28334IL · Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.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

Dr. Fadi M Mustapha M.d. 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 ID8123030525

PECOS Enrollment IDI20060630000046

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 13

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.

230 services196 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.

181 services131 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

147 services146 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

139 services139 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

97 services43 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.

75 services75 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

64 services64 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

60 services56 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

56 services56 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

55 services55 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

37 services37 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

21 services21 patients

Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm 43249

This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.

18 services17 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Katherine Shaw Bethea Hospital

Acute Care Hospitals · Dixon, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140012

Location403 E 1st StDixon, IL 61021 · Lee County

Emergency services Birthing friendly

Osf Saint Clare Medical Center

Critical Access Hospitals · Princeton, IL

OwnershipGovernment - Local

CMS Certification Number141337

Location530 Park Avenue EastPrinceton, IL 61356 · Bureau County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61021 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

$127.46 typical visit price

range $54.80 – $168.44

Typical copayment $31.86 (range $13.70 – $42.11)

Most-billed visit code 99204

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.13/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

71.8

Promoting Interoperability

Improvement Activities

Cost

66.07

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.

KYLE SWANSON

Podiatrist (Foot & Ankle Surgery)

215 E 1ST ST, SUITE 310
DIXON, IL 61021

Lee County (515) 210-9777

ERIC GALE M.D.

Internal Medicine

215 E 1ST ST, SUITE 214
DIXON, IL 61021

Lee County (815) 284-1600

LISA MARIE LINDQUIST

Occupational Therapy Assistant

215 E 1ST ST
DIXON, IL 61021

Lee County (815) 285-5591

PATRICIA J GEISZ P.T.

Physical Therapist

215 E 1ST ST, COMMERCE TOWERS, SUITE 318-319
DIXON, IL 61021

Lee County (815) 285-5591

DR. MICHAEL J WESSELS DPM

Podiatrist

215 E 1ST ST, STE 306
DIXON, IL 61021

Lee County (815) 285-5801

STEVEN YESCHEK

Podiatrist (Foot & Ankle Surgery)

215 E 1ST ST
DIXON, IL 61021

Lee County (815) 285-5698

SKYLA STRUM

Physical Therapist

215 E 1ST ST
DIXON, IL 61021

Lee County (815) 285-5591

DR. STEPHEN D GABRIEL M.D.

Orthopaedic Surgery

215 E 1ST ST, STE 305 KSB MEDICAL GROUP
DIXON, IL 61021

Lee County (815) 285-5800

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 Fadi Mustapha's NPI number?

The NPI number for Fadi Mustapha is 1508801986. It was assigned to this individual provider in the NPPES registry on June 18, 2006.

Where is Fadi Mustapha located?

Fadi Mustapha practices at 215 E 1st St, Dixon, IL 61021. The listed phone number is (815) 285-5843.

What is Fadi Mustapha's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Fadi Mustapha enrolled in Medicare?

Yes. Fadi Mustapha 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 Fadi Mustapha accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health and Quartz list Fadi Mustapha 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.

Is Fadi Mustapha affiliated with any hospitals?

According to CMS data, Fadi Mustapha is affiliated with Katherine Shaw Bethea Hospital and Osf Saint Clare Medical Center.

When was this NPI record last updated?

The NPPES record for Fadi Mustapha was last updated on August 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.