MUHAMMAD USMAN MUSTAFA MD
NPI 1649215989
Internal Medicine - Cardiovascular Disease in Trenton, NJ

Active since June 19, 2006PECOS EnrolledAccepts Medicare Assignment
4.59/100
CMS Quality Rating
40 FULD ST, SUITE 400, TRENTON, NJ 08638(609) 396-1644(609) 394-9526 Get Directions Write a Review

NPPES record last updated: April 8, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Muhammad Usman Mustafa Md NPPES

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

MUHAMMAD USMAN MUSTAFA MD (NPI 1649215989) is an individual cardiovascular disease provider in Trenton, New Jersey, licensed in New Jersey (MA07482100) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Capital Health Medical Center - Hopewell, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1649215989
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameMUHAMMAD USMAN MUSTAFACredential: MD
Location Address40 FULD ST, SUITE 400Trenton, NJ 08638
Mailing Address40 Fuld St, Suite 400Trenton, NJ 08638 · (609) 396-1644 · Fax (609) 394-9526
Fax(609) 394-9526
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateJune 19, 2006
Last NPPES UpdateApril 8, 2008
NPI 1649215989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in NJ · MA07482100
Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

40 FULD ST, Trenton, NJ 08638

Other Identifiers 3

Other60033479Horizon Nj Health
Medicaid0106151NJ
Medicare PIN063760

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

Muhammad Usman Mustafa Md 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 ID7810093770
PECOS Enrollment IDI20070509000553
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 22

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.

Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes 99458
This service involves analyzing your vital signs, like heart rate and blood pressure, remotely collected over a month. Each additional 20 minutes spent on management refers to extra time spent reviewing, interpreting your data, and planning your care. It's a critical part of ensuring your wellbeing.
904 services62 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
631 services106 patients
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457
This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.
440 services64 patients
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.
426 services182 patients
Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454
This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.
337 services57 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
287 services100 patients

Hospital Affiliations CMS Care Compare 2

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

Capital Health Medical Center - Hopewell

Acute Care Hospitals · Pennington, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310044
LocationOne Capital WayPennington, NJ 08534 · Mercer County
Emergency services Birthing friendly

Capital Health Regional Medical Center

Acute Care Hospitals · Trenton, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310092
Location750 Brunswick AveTrenton, NJ 08638 · Mercer County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08638 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

4.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost15.33

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.

Internal Medicine (Hematology & Oncology)
40 FULD ST, SUITE 404
TRENTON, NJ 08638
Internal Medicine (Hematology & Oncology)
40 FULD ST, SUITE 404
TRENTON, NJ 08638
Internal Medicine
40 FULD ST, SUITE 302
TRENTON, NJ 08638
Surgery (Trauma Surgery)
40 FULD ST, SUITE 303
TRENTON, NJ 08638
Internal Medicine
40 FULD ST, STE 302
TRENTON, NJ 08638
Internal Medicine (Pulmonary Disease)
40 FULD ST, SUITE 201
TRENTON, NJ 08638
Internal Medicine (Infectious Disease)
40 FULD ST, STE 305
TRENTON, NJ 08638
Surgery
40 FULD ST, SUITE 200
TRENTON, NJ 08638

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 Muhammad Mustafa's NPI number?

The NPI number for Muhammad Mustafa is 1649215989. It was assigned to this individual provider in the NPPES registry on June 19, 2006.

Where is Muhammad Mustafa located?

Muhammad Mustafa practices at 40 Fuld St Suite 400, Trenton, NJ 08638. The listed phone number is (609) 396-1644.

What is Muhammad Mustafa's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Muhammad Mustafa enrolled in Medicare?

Yes. Muhammad 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.

Is Muhammad Mustafa affiliated with any hospitals?

According to CMS data, Muhammad Mustafa is affiliated with Capital Health Medical Center - Hopewell and Capital Health Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Muhammad Mustafa was last updated on April 8, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.