MUSTAFA HUSSAIN
NPI 1811519440
Family Medicine in Denton, TX

Q: 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.

Q: What is Mustafa Hussain's specialty?

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

Q: 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.

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: August 09, 2026.

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

On this page

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

Phone(940) 483-9898

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

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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 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.

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

Quality

68.07

Promoting Interoperability

100

Improvement Activities

Cost

49.5

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.

MARK BRANSON AGACNP

Nurse Practitioner

3201 COLORADO BLVD STE 101
DENTON, TX 76210

Denton County (940) 483-9898

PINNACLE PAIN MEDICINE PLLC

Pain Medicine (Interventional Pain Medicine)

3201 COLORADO BLVD STE 101
DENTON, TX 76210

Denton County (940) 483-9898

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.

What insurance does Mustafa Hussain accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers 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.