DR. MILAIM MUSTAFA M.D.
NPI 1609154467
Internal Medicine - Hematology & Oncology in Portland, ME

Active since July 28, 2011PECOS EnrolledAccepts Medicare Assignment
175 FORE RIVER PKWY, PORTLAND, ME 04102(207) 879-3000 Get Directions Write a Review

NPPES record last updated: April 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 19, 2025, Aug 31, 2023, Aug 23, 2022 and 6 more (9 updates tracked since 2017).

About Dr. Milaim Mustafa M.d. NPPES

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

DR. MILAIM MUSTAFA M.D. (NPI 1609154467) is an individual hematology & oncology provider in Portland, Maine, licensed in Maine (MD21545) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS, is affiliated with Northern Light Health, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1609154467
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameDR. MILAIM MUSTAFACredential: M.D.
Location Address175 FORE RIVER PKWYPortland, ME 04102-2779
Mailing AddressPo Box 911Brattleboro, VT 05302-0911 · (207) 303-3300 · Fax (207) 250-2140
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJuly 28, 2011
Last NPPES UpdateApril 28, 20259 updates tracked since enumeration
NPPES CertifiedApril 28, 2025
NPI 1609154467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Licenses Licensed in ME · MD21545 Licensed in NH · 22472
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
175 FORE RIVER PKWY, Portland, ME 04102

Secondary Practice Locations 5

Location 1105 Topsham Fair Mall Rd Unit 1Topsham, ME 04086-1773 · Phone (207) 303-3300 · Fax (207) 250-2137
Location 211 Rock Row Ste 120Westbrook, ME 04092-4877 · Phone (207) 303-3000 · Fax (207) 250-2139
Location 32 Independence DrKennebunk, ME 04043-6078 · Phone (207) 303-3300 · Fax (207) 250-2144
Location 411 Rock Row Ste 150Westbrook, ME 04092-4877 · Phone (207) 303-3300 · Fax (207) 250-2139
Location 511 Rock Row Ste 320Westbrook, ME 04092-4877 · Phone (207) 303-3300 · Fax (207) 250-2139

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

Dr. Milaim Mustafa 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 ID1951670702
PECOS Enrollment IDI20170711000078, I20220809003753
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 4

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 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.
148 services47 patients
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.
101 services70 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.
14 services14 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.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Northern Light Health

Acute Care Hospitals · Portland, ME
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number200008
Location144 State StreetPortland, ME 04101 · Cumberland County
Emergency services Birthing friendly

Maine Medical Center

Acute Care Hospitals · Portland, ME
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200009
Location22 Bramhall StPortland, ME 04102 · Cumberland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04102 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
$169.96 typical visit price
range $56.28 – $169.96
Typical copayment $42.49 (range $14.07 – $42.49)
Most-billed visit code 99205
Established Patient
$99.18 typical visit price
range $18.22 – $138.92
Typical copayment $24.79 (range $4.55 – $34.73)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Capecitabine, oral, 500 mg J8521
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers13 claims1,176 services$0.74 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 (Geriatric Medicine)
175 FORE RIVER PKWY
PORTLAND, ME 04102
Nurse Practitioner (Psychiatric/Mental Health)
175 FORE RIVER PKWY
PORTLAND, ME 04102
Internal Medicine
175 FORE RIVER PKWY
PORTLAND, ME 04102
Hospitalist
175 FORE RIVER PKWY
PORTLAND, ME 04102
Nurse Anesthetist, Certified Registered
175 FORE RIVER PKWY
PORTLAND, ME 04102
Psychiatry & Neurology (Psychiatry)
175 FORE RIVER PKWY
PORTLAND, ME 04102
Nurse Anesthetist, Certified Registered
175 FORE RIVER PKWY
PORTLAND, ME 04102
Family Medicine
175 FORE RIVER PKWY
PORTLAND, ME 04102

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 Milaim Mustafa's NPI number?

The NPI number for Milaim Mustafa is 1609154467. It was assigned to this individual provider in the NPPES registry on July 28, 2011.

Where is Milaim Mustafa located?

Milaim Mustafa practices at 175 Fore River Pkwy, Portland, ME 04102. The listed phone number is (207) 879-3000.

What is Milaim Mustafa's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Milaim Mustafa enrolled in Medicare?

Yes. Milaim 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 Milaim Mustafa accept?

Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Shield and WellSense Health Plan list Milaim 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.

Is Milaim Mustafa affiliated with any hospitals?

According to CMS data, Milaim Mustafa is affiliated with Northern Light Health and Maine Medical Center.

When was this NPI record last updated?

The NPPES record for Milaim Mustafa was last updated on April 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.