1. Home
  2. Directory
  3. Pennsylvania
  4. Philadelphia
  5. Dentist
  6. NPI Profile

KAAENAAT MUSTAFA
NPI 1700319035
Dentist - Pediatric Dentistry in Philadelphia, PA

Active since April 04, 2017PECOS Enrolled
2301 E ALLEGHENY AVE, PHILADELPHIA, PA 19134(919) 802-2148 Get Directions Write a Review

NPPES record last updated: June 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 26, 2024, Jun 8, 2022, Oct 3, 2019 (3 updates tracked since 2019).

About Kaaenaat Mustafa NPPES

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

KAAENAAT MUSTAFA (NPI 1700319035) is an individual pediatric dentistry provider in Philadelphia, Pennsylvania, licensed in North Carolina (10915) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700319035
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameKAAENAAT MUSTAFA
Location Address2301 E ALLEGHENY AVEPhiladelphia, PA 19134-4427
Mailing Address228 Billingrath Turn LnCary, NC 27519-2908 · (919) 802-2148
Phone(919) 802-2148
Sole ProprietorNo
Enumeration DateApril 4, 2017
Last NPPES UpdateJune 26, 20243 updates tracked since enumeration
NPPES CertifiedJune 26, 2024
✔ NPI 1700319035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in NC · 10915
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Also ListedDentistTaxonomy 122300000X · License DS043566 (PA)
Also ListedDentist · Dental Public HealthTaxonomy 1223D0001X · License 10915 (NC)
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 10915 (NC)
2301 E ALLEGHENY AVE, Philadelphia, PA 19134
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.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)

Kaaenaat Mustafa 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19134 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

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.

CHERAG DARUWALA MD
Internal Medicine (Gastroenterology)
2301 E ALLEGHENY AVE, SUITE 190B
PHILADELPHIA, PA 19134
Philadelphia County (215) 926-3120
MARIA SALIB
Dentist (Pediatric Dentistry)
2301 E ALLEGHENY AVE
PHILADELPHIA, PA 19134
Philadelphia County (215) 282-8000
DONNA SIMMERS CRNA
Nurse Anesthetist, Certified Registered
2301 E ALLEGHENY AVE
PHILADELPHIA, PA 19134
Philadelphia County (215) 291-3000
R & B MEDICAL MANAGEMENT, INC
Clinic/Center (Occupational Medicine)
2301 E ALLEGHENY AVE, NORTHEASTERN HOSPITAL
PHILADELPHIA, PA 19134
Philadelphia County (215) 291-3056
DR. BRITTNIE PANG DMD
Dentist
2301 E ALLEGHENY AVE
PHILADELPHIA, PA 19134
Philadelphia County (954) 881-8619
TEMPLE UNIVERSITY HOSPITAL, INC
Pharmacy (Home Infusion Therapy Pharmacy)
2301 E ALLEGHENY AVE
PHILADELPHIA, PA 19134
Philadelphia County (800) 836-7536
LAKSHMI MURTHY MD
Anesthesiology
2301 E ALLEGHENY AVE
PHILADELPHIA, PA 19134
Philadelphia County (215) 291-3000
DR. JOVITA ANN DEVASIA DMD
Student in an Organized Health Care Education/Training Program
2301 E ALLEGHENY AVE
PHILADELPHIA, PA 19134
Philadelphia County (215) 282-8000

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 Kaaenaat Mustafa's NPI number?

The NPI number for Kaaenaat Mustafa is 1700319035. It was assigned to this individual provider in the NPPES registry on April 4, 2017.

Where is Kaaenaat Mustafa located?

Kaaenaat Mustafa practices at 2301 E Allegheny Ave, Philadelphia, PA 19134. The listed phone number is (919) 802-2148.

What is Kaaenaat Mustafa's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Kaaenaat Mustafa enrolled in Medicare?

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

What insurance does Kaaenaat Mustafa accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, BEST Life and Blue Cross and Blue Shield of Montana and 12 other insurers list Kaaenaat 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 Kaaenaat Mustafa was last updated on June 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.