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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: November 01, 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
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Accepted Insurance

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

Medicare Billing Reassignments

3

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

Freeport Regional Health Care Foundation
32 mi
Family Medicine
1036 W STEPHENSON ST
Freeport, IL 61032
  • Reassigned Medicare billing, Illinois enrollment
  • 391 clinicians in this Medicare group
NPI 1457337016 (815) 599-6000
Freeport Memorial Hospital
32 mi
General Acute Care Hospital
1045 W STEPHENSON ST
Freeport, IL 61032
  • Reassigned Medicare billing, Illinois enrollment
  • 478 clinicians in this Medicare group
NPI 1447228788 (815) 599-6000
Osf Multi-Specialty Group
108 mi
Internal Medicine
8600 N STATE ROUTE 91
Peoria, IL 61615
  • Reassigned Medicare billing, Illinois enrollment
  • 2,944 clinicians in this Medicare group
NPI 1154908929 (309) 683-5050

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

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.

Which organizations bill Medicare for Mohammad Mustafa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mohammad Mustafa reassigns Medicare benefits to 3 organizations: Freeport Regional Health Care Foundation (Freeport, IL), Freeport Memorial Hospital (Freeport, IL) and Osf Multi-Specialty Group (Peoria, IL). 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 Mohammad Mustafa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.