DR. MUSTAFA I NAEEM M.D.
NPI 1740243153
Specialist in Tomball, TX

Active since April 07, 2006PECOS EnrolledAccepts Medicare Assignment
99.13/100
CMS Quality Rating
27721 TOMBALL PARKWAY, SUITE 300, TOMBALL, TX 77375(281) 357-1300(281) 357-1309 Get Directions Write a Review

NPPES record last updated: March 20, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mustafa I Naeem M.d. NPPES

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

DR. MUSTAFA I NAEEM M.D. (NPI 1740243153) is an individual specialist in Tomball, Texas, licensed in Texas (K0681) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Hca Houston Healthcare Tomball, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1740243153
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. MUSTAFA I NAEEMCredential: M.D.
Location Address27721 TOMBALL PARKWAY, SUITE 300Tomball, TX 77375-6411
Mailing Address27721 Tomball Parkway, Suite 300Tomball, TX 77375-6411 · (281) 357-1300 · Fax (281) 357-1309
Fax(281) 357-1309
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateApril 7, 2006
Last NPPES UpdateMarch 20, 2020
NPPES CertifiedMarch 20, 2020
NPI 1740243153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in TX · K0681
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License K0681 (TX)
27721 TOMBALL PARKWAY, Tomball, TX 77375

Other Identifiers 2

Other89760XTX · Blue Cross Blue Shield
Medicaid113237503TX

Accepted Insurance

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

Dr. Mustafa I Naeem M.d. 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 ID9537189824
PECOS Enrollment IDI20051201000389
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 7

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.

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.
459 services125 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.
432 services145 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
106 services93 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.
103 services50 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.
30 services30 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Hca Houston Healthcare Tomball

Acute Care Hospitals · Tomball, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450670
Location605 HolderriethTomball, TX 77375 · Harris County
Emergency services Birthing friendly

Houston Methodist Willowbrook Hospital

Acute Care Hospitals · Houston, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450844
Location18220 State Highway 249Houston, TX 77070 · Harris County
Emergency services Birthing friendly

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.

99.13/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality91.51
Promoting Interoperability96
Improvement Activities40

Reported Quality Measures

Advance Care Plan
99%383 patients4/55-star benchmark: 100%
Controlling High Blood Pressure
77%298 patients4/55-star benchmark: 98%
Documentation of Current Medications in the Medical Record
100%2,218 patients5/55-star benchmark: 100%
e-Prescribing
100%699 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
100%742 patients5/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 100% · 523 patients
Patients screened: 100% · 523 patients
98%94 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
96%356 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 22

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
5 suppliers63 claims63 services$33.49 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
6 suppliers41 claims41 services$72.37 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
5 suppliers38 claims105 services$28.21 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
6 suppliers22 claims123 services$16.25 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
6 suppliers21 claims125 services$13.02 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
10 suppliers52 claims52 services$47.70 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
27721 TOMBALL PARKWAY, SUITE 600
TOMBALL, TX 77375
Internal Medicine (Pulmonary Disease)
27721 TOMBALL PARKWAY, SUITE 300
TOMBALL, TX 77375
Occupational Therapy Assistant
27721 TOMBALL PARKWAY, SUITE 700
TOMBALL, TX 77375

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 Mustafa Naeem's NPI number?

The NPI number for Mustafa Naeem is 1740243153. It was assigned to this individual provider in the NPPES registry on April 7, 2006.

Where is Mustafa Naeem located?

Mustafa Naeem practices at 27721 Tomball Parkway Suite 300, Tomball, TX 77375. The listed phone number is (281) 357-1300.

What is Mustafa Naeem's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Mustafa Naeem enrolled in Medicare?

Yes. Mustafa Naeem 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.

What insurance does Mustafa Naeem accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 3 other insurers list Mustafa Naeem 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 Mustafa Naeem affiliated with any hospitals?

According to CMS data, Mustafa Naeem is affiliated with Hca Houston Healthcare Tomball and Houston Methodist Willowbrook Hospital.

When was this NPI record last updated?

The NPPES record for Mustafa Naeem was last updated on March 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.