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DR. MUSTAFA KAMARI DAVIS M.D.
NPI 1891967444
Surgery in Kingman, AZ

Active since March 24, 2008PECOS EnrolledAccepts Medicare Assignment
83.2/100
CMS Quality Rating
3104 N STOCKTON HILL RD, KINGMAN, AZ 86401(928) 681-8720 Get Directions Write a Review

NPPES record last updated: September 11, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 11, 2024, Jul 24, 2018 (2 updates tracked since 2018).

About Dr. Mustafa Kamari Davis M.d. NPPES

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

DR. MUSTAFA KAMARI DAVIS M.D. (NPI 1891967444) is an individual surgery provider in Kingman, Arizona, licensed in Arizona (48413) and active in the NPI registry since March 2008. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital, and maintains a secondary practice location in Atlanta.

NPPES Registry Identity

NPI1891967444
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. MUSTAFA KAMARI DAVISCredential: M.D.
Location Address3104 N STOCKTON HILL RDKingman, AZ 86401-4183
Mailing Address3269 N Stockton Hill RdKingman, AZ 86409-3619 · (928) 263-4722 · Fax (928) 263-4794
Phone(928) 681-8720
Sole ProprietorNo
Medical School CMSMeharry Medical College School Of MedicineGraduated 2005
Enumeration DateMarch 24, 2008
Last NPPES UpdateSeptember 11, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2024
✔ NPI 1891967444 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in AZ · 48413✔ Licensed in GA · 68138
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
3104 N STOCKTON HILL RD, Kingman, AZ 86401
Open in Google Maps ↗

Secondary Practice Location 1

Location 1980 Johnson Fy Rd NE Ste 880Atlanta, GA 30342-1609 · Phone (404) 255-8304 · Fax (404) 256-4578

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.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

Dr. Mustafa Kamari Davis 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 ID4880844141
PECOS Enrollment IDI20121022000597, I20140306001729
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

5

Medicare enrollment records show Mustafa Davis reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Kingman Healthcare, Inc
0.4 mi
Specialist
1739 E BEVERLY AVE
Kingman, AZ 86409
  • Reassigned Medicare billing, Arizona enrollment
  • 418 clinicians in this Medicare group
NPI 1689897787 (928) 263-4547
Sierra Vista Regional Health Center Medical Group LLC
335 mi
Family Medicine
5750 E HIGHWAY 90, SUITE 200
Sierra Vista, AZ 85635
  • Reassigned Medicare billing, Arizona enrollment
  • 128 clinicians in this Medicare group
NPI 1043575483 (520) 263-3979
City Of Hope Medical Group Of Georgia LLC
1,673 mi
Internal Medicine
600 CELEBRATE LIFE PARKWAY
Newnan, GA 30265
  • Reassigned Medicare billing, Georgia enrollment
  • 448 clinicians in this Medicare group
NPI 1447520333 (847) 746-4333
Northside Surgical Professional Services LLC
1,689 mi
Surgery
1000 JOHNSON FERRY RD NE
Atlanta, GA 30342
  • Reassigned Medicare billing, Georgia enrollment
  • 487 clinicians in this Medicare group
NPI 1356630990 (855) 709-4535
Peachtree Surgical & Bariatrics
1,690 mi
Specialist
315 BOULEVARD NE, SUITE 224
Atlanta, GA 30312
  • Reassigned Medicare billing, Georgia enrollment
  • 6 clinicians in this Medicare group
NPI 1386785780 (404) 881-8020

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 2

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.

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.
20 services12 patients
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.
14 services13 patients

Hospital Affiliations CMS Care Compare

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

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86401 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

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.

83.2/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.73
Promoting Interoperability82
Improvement Activities40
Cost71.28

Other Providers at the Same Location NPPES

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

DR. JAMES SAN MCKINNEY M.D.
Surgery
3104 N STOCKTON HILL RD, MOHAVE SURGICAL SPECIALISTS
KINGMAN, AZ 86401
Mohave County (928) 681-8720

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 Davis's NPI number?

The NPI number for Mustafa Davis is 1891967444. It was assigned to this individual provider in the NPPES registry on March 24, 2008.

Where is Mustafa Davis located?

Mustafa Davis practices at 3104 N Stockton Hill Rd, Kingman, AZ 86401. The listed phone number is (928) 681-8720.

What is Mustafa Davis's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Mustafa Davis enrolled in Medicare?

Yes. Mustafa Davis 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 Davis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mustafa Davis reassigns Medicare benefits to 5 organizations: Kingman Healthcare, Inc (Kingman, AZ), Sierra Vista Regional Health Center Medical Group LLC (Sierra Vista, AZ), City Of Hope Medical Group Of Georgia LLC (Newnan, GA), Northside Surgical Professional Services LLC (Atlanta, GA) and Peachtree Surgical & Bariatrics (Atlanta, GA). 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 Davis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mustafa Davis accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 6 other insurers list Mustafa Davis 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 Davis affiliated with any hospitals?

According to CMS data, Mustafa Davis is affiliated with Northside Hospital.

When was this NPI record last updated?

The NPPES record for Mustafa Davis was last updated on September 11, 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.