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MUSTAFA WARDAK M.D.
NPI 1619389319
Student in an Organized Health Care Education/Training Program in Canton, OH

Active since May 29, 2014PECOS EnrolledAccepts Medicare Assignment
2600 SIXTH ST SW, CANTON, OH 44710(330) 363-2319(330) 580-5509 Get Directions Write a Review

NPPES record last updated: May 29, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mustafa Wardak M.d. NPPES

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

MUSTAFA WARDAK M.D. (NPI 1619389319) is an individual student in an organized health care education/training program in Canton, Ohio and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1619389319
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMUSTAFA WARDAKCredential: M.D.
Location Address2600 SIXTH ST SWCanton, OH 44710-1702
Mailing Address2600 Sixth St SwCanton, OH 44710-1702 · (330) 363-2319 · Fax (330) 580-5509
Phone(330) 363-2319
Fax(330) 580-5509
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateMay 29, 2014
✔ NPI 1619389319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2600 SIXTH ST SW, Canton, OH 44710
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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 and accepts Medicare assignment

Mustafa Wardak 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 ID5294005500
PECOS Enrollment IDI20170719002704
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 3

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
186 services170 patients
Transitional care management services for problem of high complexity 99496
Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.
93 services91 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.
11 services11 patients

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.

CHELSEA FLIGHT CNP
Nurse Practitioner
2600 SIXTH ST SW
CANTON, OH 44710
Stark County (330) 363-0000
JAIME MARIE RENNECKER
Nurse Practitioner (Neonatal)
2600 SIXTH ST SW
CANTON, OH 44710
Stark County (330) 363-5433
JARELIZ CALDAS DIAZ MD
Student in an Organized Health Care Education/Training Program
2600 SIXTH ST SW
CANTON, OH 44710
Stark County (330) 363-6223
YARA KHOURI M.D.
Internal Medicine
2600 SIXTH ST SW
CANTON, OH 44710
Stark County (330) 363-6235
HEATHER BAKER AGACNP
Nurse Practitioner (Acute Care)
2600 SIXTH ST SW
CANTON, OH 44710
Stark County (330) 452-9911
SHELBY WESTHOEFER
Nurse Practitioner
2600 SIXTH ST SW
CANTON, OH 44710
Stark County (330) 452-9911
MR. KEVIN WHITE C.R.N.A.
Nurse Anesthetist, Certified Registered
2600 SIXTH ST SW
CANTON, OH 44710
Stark County (330) 363-7462
DR. DOUGLAS ALLEN WOOD DO
Emergency Medicine
2600 SIXTH ST SW
CANTON, OH 44710
Stark County (330) 456-2695

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 Wardak's NPI number?

The NPI number for Mustafa Wardak is 1619389319. It was assigned to this individual provider in the NPPES registry on May 29, 2014.

Where is Mustafa Wardak located?

Mustafa Wardak practices at 2600 Sixth St SW, Canton, OH 44710. The listed phone number is (330) 363-2319.

What is Mustafa Wardak's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Mustafa Wardak enrolled in Medicare?

Yes. Mustafa Wardak 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.

When was this NPI record last updated?

The NPPES record for Mustafa Wardak was last updated on May 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.