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

Q: 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.

Q: What is Muhammad Mustafa's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Muhammad Mustafa was last updated on April 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

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: October 18, 2026.

On this page

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

Phone(609) 396-1644

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

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Other Identifiers 3

Other60033479Horizon Nj Health

Medicaid0106151NJ

Medicare PIN063760

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

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

Capital Cardiology Associates P A

Same address

Cardiovascular Disease

40 FULD ST, SUITE 400
Trenton, NJ 08638

Reassigned Medicare billing, New Jersey enrollment
6 clinicians in this Medicare group

NPI 1548204142 (609) 396-1644

Cnjhs LLC

3.8 mi

Cardiovascular Disease

3379 QUAKERBRIDGE RD STE 201
Hamilton, NJ 08619

Reassigned Medicare billing, New Jersey enrollment

NPI 1336952613 (609) 695-4422

Hamilton Heart & Vascular Care LLC

3.8 mi

Interventional Cardiology

3379 QUAKERBRIDGE RD STE 200
Hamilton, NJ 08619

Reassigned Medicare billing, New Jersey enrollment
4 clinicians in this Medicare group

NPI 1386119014 (215) 747-4511

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

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

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

199 services149 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

182 services61 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

126 services41 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

64 services64 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.

61 services51 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

51 services48 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

49 services42 patients

Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist 93458

This procedure involves placing a tube into your left lower heart chamber and coronary artery. It helps doctors diagnose heart conditions by allowing them to view these areas in detail. A radiologist will review the images to ensure accurate diagnosis.

38 services33 patients

Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment 99453

Remote monitoring of physiologic parameters involves using special equipment to track vital signs like heart rate and blood pressure from a distance. The initial set-up includes installing the device and teaching the patient how to use it correctly for accurate readings.

32 services32 patients

Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch 92928

This procedure involves placing a small, mesh tube (stent) in your coronary artery to keep it open. A balloon is used to expand the stent and artery, improving blood flow to your heart. It's typically done for a single artery or branch.

27 services23 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

24 services24 patients

Ultrasound study of arm or leg veins with compression and maneuvers 93970

An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.

21 services21 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

16 services16 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016

An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.

13 services13 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018

An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.

13 services13 patients

Nuclear medicine studies of heart muscle at rest and with stress and spect 78452

Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.

12 services12 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

Quality

Improvement Activities

Cost

15.33

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.

DR. ABDUL W MUGHAL M.D.

Internal Medicine (Hematology & Oncology)

40 FULD ST, SUITE 404
TRENTON, NJ 08638

Mercer County (609) 394-0660

MERCER COUNTY HEMATOLOGY & ONCOLOGY

Internal Medicine (Hematology & Oncology)

40 FULD ST, SUITE 404
TRENTON, NJ 08638

Mercer County (609) 394-0660

NILESH RANA MD

Internal Medicine

40 FULD ST, SUITE 302
TRENTON, NJ 08638

Mercer County (609) 537-7223

CAPITAL HEALTH SURGICAL GROUP

Surgery (Trauma Surgery)

40 FULD ST, SUITE 303
TRENTON, NJ 08638

Mercer County (609) 396-2600

MERCER INTERNISTS P.C.

Internal Medicine

40 FULD ST, STE 302
TRENTON, NJ 08638

Mercer County (609) 393-0067

PULMONARY AND INTERNAL MEDICINE ASSOCIATES PA

Internal Medicine (Pulmonary Disease)

40 FULD ST, SUITE 201
TRENTON, NJ 08638

Mercer County (609) 695-4358

CAPITAL INFECTIOUS DISEASE CONSULTANTS PC

Internal Medicine (Infectious Disease)

40 FULD ST, STE 305
TRENTON, NJ 08638

Mercer County (609) 815-7773

KUN H CHO MD PA

Surgery

40 FULD ST, SUITE 200
TRENTON, NJ 08638

Mercer County (609) 393-3571

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.

Which organizations bill Medicare for Muhammad Mustafa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Muhammad Mustafa reassigns Medicare benefits to 3 organizations: Capital Cardiology Associates P A (Trenton, NJ), Cnjhs LLC (Hamilton, NJ) and Hamilton Heart & Vascular Care LLC (Hamilton, NJ). 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 Muhammad Mustafa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Muhammad Mustafa accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Muhammad 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.

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.