1. Home
  2. Directory
  3. Illinois
  4. Rockford
  5. Pediatrics
  6. NPI Profile

DR. MOHAMMAD ASIM MUSTAFA M.D.
NPI 1639265259
Pediatrics - Adolescent Medicine in Rockford, IL

Active since October 04, 2006PECOS Enrolled
461 N. MULFORD ROAD, SUITE 12, ROCKFORD, IL 61107(815) 398-1009 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Mohammad Asim Mustafa M.d. NPPES

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

DR. MOHAMMAD ASIM MUSTAFA M.D. (NPI 1639265259) is an individual adolescent medicine provider in Rockford, Illinois and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639265259
Entity TypeIndividualMale
Primary Taxonomy2080A0000X
Provider Legal NameDR. MOHAMMAD ASIM MUSTAFACredential: M.D.
Location Address461 N. MULFORD ROAD, SUITE 12Rockford, IL 61107-5165
Mailing Address461 N. Mulford Road, Suite 12Rockford, IL 61107-5165 · (815) 398-1009
Phone(815) 398-1009
Sole ProprietorYes
Enumeration DateOctober 4, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1639265259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
461 N. MULFORD ROAD, Rockford, IL 61107
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Quartz.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mohammad Asim Mustafa M.d. 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

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

MRS. JAMIE LYNN FANARA JAMIE FANARA, LCMT
Massage Therapist
461 N. MULFORD ROAD, UNIT 8
ROCKFORD, IL 61107
Winnebago County (815) 977-4743

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 Mohammad Mustafa's NPI number?

The NPI number for Mohammad Mustafa is 1639265259. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Where is Mohammad Mustafa located?

Mohammad Mustafa practices at 461 N. Mulford Road Suite 12, Rockford, IL 61107. The listed phone number is (815) 398-1009.

What is Mohammad Mustafa's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Is Mohammad Mustafa enrolled in Medicare?

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

What insurance does Mohammad Mustafa accept?

Health plans from Quartz list Mohammad 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.

When was this NPI record last updated?

The NPPES record for Mohammad Mustafa was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.