MUSTAFA HUSSAIN
NPI 1811519440
Family Medicine in Denton, TX

Active since May 18, 2020PECOS EnrolledAccepts Medicare Assignment
75.27/100
CMS Quality Rating
3201 COLORADO BLVD STE 101, DENTON, TX 76210(940) 483-9898 Get Directions Write a Review

NPPES record last updated: July 1, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 1, 2024, Aug 13, 2021, Aug 6, 2021 and 1 more (4 updates tracked since 2020).

About Mustafa Hussain NPPES

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

MUSTAFA HUSSAIN (NPI 1811519440) is an individual family medicine provider in Denton, Texas, licensed in Texas (T2888) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS, is affiliated with The University Of Chicago Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1811519440
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMUSTAFA HUSSAIN
Location Address3201 COLORADO BLVD STE 101Denton, TX 76210-6929
Mailing Address3201 Colorado Blvd Ste 101Denton, TX 76210-6929
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMay 18, 2020
Last NPPES UpdateJuly 1, 20244 updates tracked since enumeration
NPPES CertifiedJune 27, 2024
✔ NPI 1811519440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · T2888
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedEmergency MedicineTaxonomy 207P00000X · License T2888 (TX)
3201 COLORADO BLVD STE 101, Denton, TX 76210

Accepted 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

Mustafa Hussain 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 ID5698190619
PECOS Enrollment IDI20210826001451
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

14

Medicare enrollment records show Mustafa Hussain reassigns Medicare billing to 14 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
7777 FOREST LN
Dallas, TX 75230
  • Reassigned Medicare billing, Texas enrollment
  • 486 clinicians in this Medicare group
Internal Medicine
8440 WALNUT HILL LN STE 800
Dallas, TX 75231
  • Reassigned Medicare billing, Texas enrollment
  • 1,639 clinicians in this Medicare group
Emergency Medicine
1900 HOSPITAL BLVD
Gainesville, TX 76240
  • Reassigned Medicare billing, Texas enrollment
  • 1,193 clinicians in this Medicare group
Emergency Medicine
5016 S US HIGHWAY 75
Denison, TX 75020
  • Reassigned Medicare billing, Texas enrollment
  • 67 clinicians in this Medicare group
Emergency Medicine
101 CIRCLE DR
Hillsboro, TX 76645
  • Reassigned Medicare billing, Texas enrollment
  • 127 clinicians in this Medicare group
Emergency Medicine
1207 S BAILEY ST
Electra, TX 76360
  • Reassigned Medicare billing, Texas enrollment
  • 155 clinicians in this Medicare group
Emergency Medicine
1602 AVENUE Q
Lubbock, TX 79401
  • Reassigned Medicare billing, Texas enrollment
  • 1,439 clinicians in this Medicare group
Emergency Medicine
2550 N ESPLANADE ST
Cuero, TX 77954
  • Reassigned Medicare billing, Texas enrollment
  • 135 clinicians in this Medicare group
Emergency Medicine
3615 N. INTERSTATE 69C
Edinburg, TX 78541
  • Reassigned Medicare billing, Texas enrollment
  • 154 clinicians in this Medicare group
Emergency Medicine
1102 W TRENTON RD
Edinburg, TX 78539
  • Reassigned Medicare billing, Texas enrollment
  • 257 clinicians in this Medicare group

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 4

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.

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.
39 services39 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
37 services36 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
31 services30 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
13 services13 patients

Hospital Affiliations CMS Care Compare 4

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

The University Of Chicago Medical Center

Acute Care Hospitals · Chicago, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140088
Location5841 South MarylandChicago, IL 60637 · Cook County
Emergency services Birthing friendly

Texoma Medical Center

Acute Care Hospitals · Denison, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450324
Location5016 S Us Highway 75Denison, TX 75020 · Grayson County
Emergency services Birthing friendly

Texas Health Presbyterian Hospital Flower Mound

Acute Care Hospitals · Flower Mound, TX
5/5 CMS rating
OwnershipProprietary
CMS Certification Number670068
Location4400 Long Prairie RoadFlower Mound, TX 75028 · Denton County
Emergency services Birthing friendly

Advanced Dallas Hospitals And Clinics

Acute Care Hospitals · Dallas, TX
OwnershipProprietary
CMS Certification Number670321
Location7502 Greenville AvenueDallas, TX 75231 · Dallas County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76210 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
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.

75.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.07
Promoting Interoperability100
Improvement Activities40
Cost49.5

Other Providers at the Same Location NPPES 2

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

Nurse Practitioner
3201 COLORADO BLVD STE 101
DENTON, TX 76210
Pain Medicine (Interventional Pain Medicine)
3201 COLORADO BLVD STE 101
DENTON, TX 76210

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 Hussain's NPI number?

The NPI number for Mustafa Hussain is 1811519440. It was assigned to this individual provider in the NPPES registry on May 18, 2020.

Where is Mustafa Hussain located?

Mustafa Hussain practices at 3201 Colorado Blvd Ste 101, Denton, TX 76210. The listed phone number is (940) 483-9898.

What is Mustafa Hussain's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mustafa Hussain enrolled in Medicare?

Yes. Mustafa Hussain 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 Mustafa Hussain's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mustafa Hussain reassigns Medicare benefits to 14 organizations: Questcare Hospitalists PLLC (Dallas, TX), Texas Health Physicians Group (Dallas, TX), Acs Primary Care Physicians Southwest, PA (Gainesville, TX), Level One Emergency Physicians LLC (Denison, TX), Ies Central Texas PLLC (Hillsboro, TX) and 9 more organizations, listed in the Medicare section above. 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 Mustafa Hussain's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mustafa Hussain accept?

Health plans from Antidote Health of TX, Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Community Health Choice and Oscar Health and 1 other insurer list Mustafa Hussain 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 Hussain affiliated with any hospitals?

According to CMS data, Mustafa Hussain is affiliated with The University Of Chicago Medical Center, Texoma Medical Center, Texas Health Presbyterian Hospital Flower Mound and Advanced Dallas Hospitals And Clinics.

When was this NPI record last updated?

The NPPES record for Mustafa Hussain was last updated on July 1, 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.