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DR. MUSTAFA SUTERWALA
NPI 1528023157
Pediatrics in Irving, TX

Active since April 18, 2006PECOS Enrolled
7200 STATE HIGHWAY 161 STE 100, IRVING, TX 75039(972) 853-5033 Get Directions Write a Review

NPPES record last updated: December 30, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 30, 2022, Dec 7, 2022 (2 updates tracked since 2022).

About Dr. Mustafa Suterwala NPPES

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

DR. MUSTAFA SUTERWALA (NPI 1528023157) is an individual pediatrics provider in Irving, Texas, licensed in Texas (L6660) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528023157
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. MUSTAFA SUTERWALA
Location Address7200 STATE HIGHWAY 161 STE 100Irving, TX 75039-3800
Mailing Address7200 State Highway 161Irving, TX 75039-4132 · (972) 853-5033
Phone(972) 853-5033
Sole ProprietorNo
Enumeration DateApril 18, 2006
Last NPPES UpdateDecember 30, 20222 updates tracked since enumeration
NPPES CertifiedDecember 30, 2022
✔ NPI 1528023157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in TX · L6660
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
7200 STATE HIGHWAY 161 STE 100, Irving, TX 75039
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Other Identifiers 1

Medicaid15926601TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mustafa Suterwala 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Mustafa Suterwala reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatric Health Specialists, Inc
Same address
Pediatrics
7200 STATE HIGHWAY 161 STE 100
Irving, TX 75039
  • Reassigned Medicare billing, Texas enrollment
  • 2 clinicians in this Medicare group
NPI 1528586054 (972) 853-5033
Healthtexas Provider Network
11 mi
Family Medicine
1110 PARKER SQ
Flower Mound, TX 75028
  • Reassigned Medicare billing, Texas enrollment
  • 3,167 clinicians in this Medicare group
NPI 1427054402 (972) 724-1707
Pediatrix Medical Group Of Texas Billing, Inc.
233 mi
Neonatal-Perinatal Medicine
2929 WOODLAND PARK DR
Houston, TX 77082
  • Reassigned Medicare billing, Texas enrollment
  • 508 clinicians in this Medicare group
NPI 1649377359 (281) 293-7774

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75039 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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 9

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

KASEY LYNN ROOF NP
Nurse Practitioner (Pediatrics)
7200 STATE HIGHWAY 161 STE 100
IRVING, TX 75039
Dallas County (972) 853-5033
VICTORIA GARCIA CPNP-PC
Nurse Practitioner (Pediatrics)
7200 STATE HIGHWAY 161 STE 100
IRVING, TX 75039
Dallas County (972) 853-5033
BRANDIE CHAMBERS APRN, CPNP-PC
Nurse Practitioner (Pediatrics)
7200 STATE HIGHWAY 161 STE 100
IRVING, TX 75039
Dallas County (972) 853-5033
AMANDA DANIELLE ADORABLE RN, FNP-C
Nurse Practitioner (Family)
7200 STATE HIGHWAY 161 STE 100
IRVING, TX 75039
Dallas County (972) 853-5033
NAIMA MOHAMED DO
Pediatrics
7200 STATE HIGHWAY 161 STE 100
IRVING, TX 75039
Dallas County (972) 853-5033
PEDIATRIC HEALTH SPECIALISTS, INC
Pediatrics
7200 STATE HIGHWAY 161 STE 100
IRVING, TX 75039
Dallas County (972) 853-5033
ROBERTA SCALA RATELLE APRN
Nurse Practitioner (Pediatrics)
7200 STATE HIGHWAY 161 STE 100
IRVING, TX 75039
Dallas County (972) 853-5033
HEALING HANDS MINISTRIES INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
7200 STATE HIGHWAY 161 STE 100
IRVING, TX 75039
Dallas County (214) 221-0855

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 Mustafa Suterwala's NPI number?

The NPI number for Mustafa Suterwala is 1528023157. It was assigned to this individual provider in the NPPES registry on April 18, 2006.

Where is Mustafa Suterwala located?

Mustafa Suterwala practices at 7200 State Highway 161 Ste 100, Irving, TX 75039. The listed phone number is (972) 853-5033.

What is Mustafa Suterwala's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Mustafa Suterwala enrolled in Medicare?

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

Which organizations bill Medicare for Mustafa Suterwala's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mustafa Suterwala reassigns Medicare benefits to 3 organizations: Pediatric Health Specialists, Inc (Irving, TX), Healthtexas Provider Network (Flower Mound, TX) and Pediatrix Medical Group Of Texas Billing, Inc. (Houston, TX). Each 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 Mustafa Suterwala's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mustafa Suterwala accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 7 other insurers list Mustafa Suterwala 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 Mustafa Suterwala was last updated on December 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.