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MELAN MUSTAFA M.D.
NPI 1952157331
Student in an Organized Health Care Education/Training Program in St. Clair Shores, MI

Active since April 26, 2024PECOS Enrolled
24911 LITTLE MACK AVENUE, SUITE C, ST. CLAIR SHORES, MI 48080(586) 777-2050(586) 777-2189 Get Directions Write a Review

NPPES record last updated: July 22, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 22, 2024, Apr 26, 2024 (2 updates tracked since 2024).

About Melan Mustafa M.d. NPPES

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

MELAN MUSTAFA M.D. (NPI 1952157331) is an individual student in an organized health care education/training program in St. Clair Shores, Michigan and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952157331
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMELAN MUSTAFACredential: M.D.
Location Address24911 LITTLE MACK AVENUE, SUITE CSt. Clair Shores, MI 48080
Mailing Address24911 Little Mack Avenue, Suite CSt. Clair Shores, MI 48080 · (586) 777-2050 · Fax (586) 777-2189
Phone(586) 777-2050
Fax(586) 777-2189
Sole ProprietorNo
Enumeration DateApril 26, 2024
Last NPPES UpdateJuly 22, 20242 updates tracked since enumeration
✔ NPI 1952157331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
24911 LITTLE MACK AVENUE, SUITE C, St. Clair Shores, MI 48080
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Melan Mustafa M.d. 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.

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 Melan Mustafa's NPI number?

The NPI number for Melan Mustafa is 1952157331. It was assigned to this individual provider in the NPPES registry on April 26, 2024.

Where is Melan Mustafa located?

Melan Mustafa practices at 24911 Little Mack Avenue, Suite C, St. Clair Shores, MI 48080. The listed phone number is (586) 777-2050.

What is Melan Mustafa's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Melan Mustafa enrolled in Medicare?

Yes. Melan Mustafa is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Melan Mustafa was last updated on July 22, 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.