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KHADER MUSTAFA
NPI 1881078533
Internal Medicine - Rheumatology in Sylvania, OH

Active since July 13, 2015PECOS EnrolledAccepts Medicare Assignment
5700 MONROE ST UNIT 202, SYLVANIA, OH 43560(567) 585-0115 Get Directions Write a Review

NPPES record last updated: January 22, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Khader Mustafa NPPES

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

KHADER MUSTAFA (NPI 1881078533) is an individual rheumatology provider in Sylvania, Ohio, licensed in Ohio (35063837) and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS, is affiliated with Promedica Charles And Virginia Hickman Hospital, and is a graduate of Other (1981).

NPPES Registry Identity

NPI1881078533
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameKHADER MUSTAFA
Location Address5700 MONROE ST UNIT 202Sylvania, OH 43560
Mailing Address5700 Monroe St Unit 202Sylvania, OH 43560-2735 · (567) 585-0115
Phone(567) 585-0115
Sole ProprietorYes
Medical School CMSOtherGraduated 1981
Enumeration DateJuly 13, 2015
Last NPPES UpdateJanuary 22, 2019
✔ NPI 1881078533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in OH · 35063837
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
5700 MONROE ST UNIT 202, Sylvania, OH 43560
Open in Google Maps ↗

Other Identifiers 1

Medicaid0892673OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Khader Mustafa 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 ID2264799444
PECOS Enrollment IDI20171122002409
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 6

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
246 services27 patients
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.
231 services146 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.
54 services54 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
33 services21 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
31 services16 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
13 services13 patients

Hospital Affiliations CMS Care Compare 5

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

Promedica Charles And Virginia Hickman Hospital

Acute Care Hospitals · Adrian, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230005
Location5640 N Adrian HighwayAdrian, MI 49221 · Lenawee County
Emergency services Birthing friendly

Promedica Monroe Regional Hospital

Acute Care Hospitals · Monroe, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230099
Location718 N Macomb StMonroe, MI 48162 · Monroe County
Emergency services Birthing friendly

Promedica Toledo Hospital

Acute Care Hospitals · Toledo, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360068
Location2142 North Cove BoulevardToledo, OH 43606 · Lucas County
Emergency services Birthing friendly

Memorial Hospital

Acute Care Hospitals · Fremont, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360156
Location715 South Taft AvenueFremont, OH 43420 · Sandusky County
Birthing friendly

Bay Park Community Hospital

Acute Care Hospitals · Oregon, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360259
Location2801 Bay Park DriveOregon, OH 43616 · Lucas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43560 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Other Providers at the Same Location NPPES

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

AMALA REDDY AMBATI MD
Internal Medicine (Rheumatology)
5700 MONROE ST UNIT 202
SYLVANIA, OH 43560
Lucas County (567) 585-0115

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 Khader Mustafa's NPI number?

The NPI number for Khader Mustafa is 1881078533. It was assigned to this individual provider in the NPPES registry on July 13, 2015.

Where is Khader Mustafa located?

Khader Mustafa practices at 5700 Monroe St Unit 202, Sylvania, OH 43560. The listed phone number is (567) 585-0115.

What is Khader Mustafa's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Khader Mustafa enrolled in Medicare?

Yes. Khader Mustafa 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 Khader Mustafa accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and CareSource and 2 other insurers list Khader Mustafa 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 Khader Mustafa affiliated with any hospitals?

According to CMS data, Khader Mustafa is affiliated with Promedica Charles And Virginia Hickman Hospital, Promedica Monroe Regional Hospital, Promedica Toledo Hospital, Memorial Hospital and Bay Park Community Hospital.

When was this NPI record last updated?

The NPPES record for Khader Mustafa was last updated on January 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.