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ESED MUSTAFIC
NPI 1619819208
Student in an Organized Health Care Education/Training Program in Saint Louis, MO

Active since April 06, 2026PECOS Enrolled
401 HOLLY HILLS AVE, SAINT LOUIS, MO 63111(314) 834-2273 Get Directions Write a Review

NPPES record last updated: April 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Esed Mustafic NPPES

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

ESED MUSTAFIC (NPI 1619819208) is an individual student in an organized health care education/training program in Saint Louis, Missouri and active in the NPI registry since April 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619819208
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameESED MUSTAFIC
Location Address401 HOLLY HILLS AVESaint Louis, MO 63111-2410
Mailing Address1402 S Grand Blvd Rm M260Saint Louis, MO 63104-1004 · (314) 617-2359
Phone(314) 834-2273
Sole ProprietorNo
Enumeration DateApril 6, 2026
NPPES CertifiedApril 6, 2026
✔ NPI 1619819208 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.
401 HOLLY HILLS AVE, Saint Louis, MO 63111
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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 (PECOS)

Esed Mustafic 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.

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.

DR. LEXI KATHLEEN WISCH PT, DPT
Physical Therapist
401 HOLLY HILLS AVE
SAINT LOUIS, MO 63111
St. Louis City (314) 353-5190
DR. DANIEL RALPH BERG MD
Internal Medicine
401 HOLLY HILLS AVE
SAINT LOUIS, MO 63111
St. Louis City (314) 353-5190
MRS. JINA LEE MCATEE MD
Pediatrics
401 HOLLY HILLS AVE
SAINT LOUIS, MO 63111
St. Louis City (314) 353-5190
GWYN MAHONY HADEED D.O.
Family Medicine
401 HOLLY HILLS AVE
SAINT LOUIS, MO 63111
St. Louis City (314) 353-5190
ARIEL MARIE JONES DC
Chiropractor
401 HOLLY HILLS AVE
SAINT LOUIS, MO 63111
St. Louis City (314) 353-5190
SAVANNAH JOY WINNINGHAM LMSW
Social Worker (Clinical)
401 HOLLY HILLS AVE
SAINT LOUIS, MO 63111
St. Louis City (314) 834-2273
MS. ASHNA MAHADEV MD
Student in an Organized Health Care Education/Training Program
401 HOLLY HILLS AVE
SAINT LOUIS, MO 63111
St. Louis City (314) 353-5190
MS. GRETCHEN LANDGRAF DO
Student in an Organized Health Care Education/Training Program
401 HOLLY HILLS AVE
SAINT LOUIS, MO 63111
St. Louis City (314) 353-5190

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 Esed Mustafic's NPI number?

The NPI number for Esed Mustafic is 1619819208. It was assigned to this individual provider in the NPPES registry on April 6, 2026.

Where is Esed Mustafic located?

Esed Mustafic practices at 401 Holly Hills Ave, Saint Louis, MO 63111. The listed phone number is (314) 834-2273.

What is Esed Mustafic's specialty?

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

Is Esed Mustafic enrolled in Medicare?

Yes. Esed Mustafic is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Esed Mustafic was last updated on April 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.