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MOSTAFA MOHAMED ABDELRHMAN ELBANNA MD
NPI 1730810821
Internal Medicine - Cardiovascular Disease in Boston, MA

Active since June 21, 2022PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: May 1, 2025. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Mostafa Mohamed Abdelrhman Elbanna Md NPPES

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

MOSTAFA MOHAMED ABDELRHMAN ELBANNA MD (NPI 1730810821) is an individual cardiovascular disease provider in Boston, Massachusetts, licensed in Massachusetts (1021461) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS, is affiliated with North Shore Medical Center -, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1730810821
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameMOSTAFA MOHAMED ABDELRHMAN ELBANNACredential: MD
Location Address55 FRUIT STBoston, MA 02114-2696
Mailing Address55 Fruit StBoston, MA 02114-2696 · (617) 726-1543
Phone(617) 726-1543
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJune 21, 2022
Last NPPES UpdateMay 1, 2025
NPPES CertifiedMay 1, 2025
✔ NPI 1730810821 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in MA · 1021461
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
55 FRUIT ST, Boston, MA 02114
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11561 Long Pond Rd Ste 206Rochester, NY 14626-4135 · Phone (585) 368-4800 · Fax (585) 368-4815
Location 21555 Long Pond RdRochester, NY 14626-4164 · Phone (585) 723-7746 · Fax (585) 723-7834

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

Mostafa Mohamed Abdelrhman Elbanna 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 ID4880104488
PECOS Enrollment IDI20250612000262
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.

Hospital Affiliations CMS Care Compare 3

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

North Shore Medical Center -

Acute Care Hospitals · Salem, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220035
Location81 Highland AvenueSalem, MA 01970 · Essex County
Emergency services Birthing friendly

Massachusetts General Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220071
Location55 Fruit StreetBoston, MA 02114 · Suffolk County
Emergency services Birthing friendly

Newton-Wellesley Hospital

Acute Care Hospitals · Newton, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220101
Location2014 Washington StreetNewton, MA 02462 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02114 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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.

STUTI GIRISH SHROFF MD, MBBS
Pathology (Anatomic Pathology)
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 726-2971
NANCY WANG M.D.
Internal Medicine (Hematology & Oncology)
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (017) 724-4000
DR. DUSAN HANIDZIAR M.D., PH.D.
Anesthesiology
55 FRUIT ST, GRAY-BIGELOW 444
BOSTON, MA 02114
Suffolk County (617) 726-3030
JOHN JOSEPH DANKO DO
Physical Medicine & Rehabilitation
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 726-2000
DR. MICHAEL ANDREW LOBRITZ M.D, PH.D.
Internal Medicine (Infectious Disease)
55 FRUIT ST, DIVISION OF INFECTIOUS DISEASE, GRJ-504
BOSTON, MA 02114
Suffolk County (617) 724-9248
MS. KELLY ELISHA TRECARTIN NP
Nurse Practitioner (Acute Care)
55 FRUIT ST, BIGALOW 852 F
BOSTON, MA 02114
Suffolk County (617) 726-7400
JAMIE MARIE ALLEN NP
Nurse Practitioner
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 724-4410
DR. DHAVAL SANJEEV KOLTE M.B.B.S., PH.D.
Internal Medicine (Cardiovascular Disease)
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 643-3238

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 Mostafa Elbanna's NPI number?

The NPI number for Mostafa Elbanna is 1730810821. It was assigned to this individual provider in the NPPES registry on June 21, 2022.

Where is Mostafa Elbanna located?

Mostafa Elbanna practices at 55 Fruit St, Boston, MA 02114. The listed phone number is (617) 726-1543.

What is Mostafa Elbanna's specialty?

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

Is Mostafa Elbanna enrolled in Medicare?

Yes. Mostafa Elbanna 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 Mostafa Elbanna affiliated with any hospitals?

According to CMS data, Mostafa Elbanna is affiliated with North Shore Medical Center -, Massachusetts General Hospital and Newton-Wellesley Hospital.

When was this NPI record last updated?

The NPPES record for Mostafa Elbanna was last updated on May 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.