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HOSAM MOUSTAFA MD
NPI 1760418149
Radiology - Diagnostic Radiology in Fullerton, CA

Active since June 25, 2006PECOS Enrolled
301 W BASTANCHURY RD STE 130, FULLERTON, CA 92835(714) 278-9363(714) 278-9364 Get Directions Write a Review

NPPES record last updated: July 30, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Hosam Moustafa Md NPPES

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

HOSAM MOUSTAFA MD (NPI 1760418149) is an individual diagnostic radiology provider in Fullerton, California, licensed in California (A71010) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760418149
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameHOSAM MOUSTAFACredential: MD
Location Address301 W BASTANCHURY RD STE 130Fullerton, CA 92835-3423
Mailing Address301 W Bastanchury Rd Ste 130Fullerton, CA 92835-3423 · (714) 278-9363 · Fax (714) 278-9364
Phone(714) 278-9363
Fax(714) 278-9364
Sole ProprietorYes
Enumeration DateJune 25, 2006
Last NPPES UpdateJuly 30, 2008
✔ NPI 1760418149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in CA · A71010
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
301 W BASTANCHURY RD STE 130, Fullerton, CA 92835
Open in Google Maps ↗

Other Identifiers 6

Medicare ID-Type UnspecifiedWA71010KCA
Medicare UPING98200CA
Medicare ID-Type UnspecifiedTP016CA
Other00A710100CA · Blue Shield
Medicaid00A710100CA
Medicare ID-Type UnspecifiedTP016ACA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hosam Moustafa Md 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.

Medicare Billing Reassignment

Medicare enrollment records show Hosam Moustafa reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Memorialcare Medical Foundation
13 mi
Clinic/Center
17360 BROOKHURST ST
Fountain Valley, CA 92708
  • Reassigned Medicare billing, California enrollment
  • 948 clinicians in this Medicare group
NPI 1205167350 (877) 696-3622

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92835 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

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 Hosam Moustafa's NPI number?

The NPI number for Hosam Moustafa is 1760418149. It was assigned to this individual provider in the NPPES registry on June 25, 2006.

Where is Hosam Moustafa located?

Hosam Moustafa practices at 301 W Bastanchury Rd Ste 130, Fullerton, CA 92835. The listed phone number is (714) 278-9363.

What is Hosam Moustafa's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Hosam Moustafa enrolled in Medicare?

Yes. Hosam Moustafa is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Hosam Moustafa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hosam Moustafa reassigns Medicare benefits to Memorialcare Medical Foundation (Fountain Valley, CA). The 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 Hosam Moustafa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Hosam Moustafa was last updated on July 30, 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.