MUSTAFA ABDUL-HUSSEIN MD
NPI 1972759173
Internal Medicine - Gastroenterology in Mattoon, IL

Q: What is Mustafa Abdul-hussein's NPI number?

The NPI number for Mustafa Abdul-hussein is 1972759173. It was assigned to this individual provider in the NPPES registry on August 7, 2008.

Q: What is Mustafa Abdul-hussein's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Active since August 07, 2008PECOS EnrolledAccepts Medicare Assignment

1000 HEALTH CENTER DR STE 204, MATTOON, IL 61938(217) 258-4155(217) 258-2579 Get Directions Write a Review

NPPES record last updated: December 18, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 18, 2024, Jul 5, 2019 (2 updates tracked since 2019).

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About Mustafa Abdul-hussein Md NPPES

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

MUSTAFA ABDUL-HUSSEIN MD (NPI 1972759173) is an individual gastroenterology provider in Mattoon, Illinois, licensed in Illinois (036-172374) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS, is affiliated with Sarah Bush Lincoln Health Center, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1972759173

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameMUSTAFA ABDUL-HUSSEINCredential: MD

Location Address1000 HEALTH CENTER DR STE 204Mattoon, IL 61938-4644

Mailing AddressPo Box 372Mattoon, IL 61938-0372

Phone(217) 258-4155

Fax(217) 258-2579

Sole ProprietorYes

Medical School CMSOtherGraduated 2003

Enumeration DateAugust 7, 2008

Last NPPES UpdateDecember 18, 20242 updates tracked since enumeration

NPPES CertifiedDecember 18, 2024

✔ NPI 1972759173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

Licenses✔ Licensed in IL · 036-172374✔ Licensed in OK · 1

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Also ListedInternal MedicineTaxonomy 207R00000X · License 4301092311 (MI)

Also ListedInternal Medicine · HepatologyTaxonomy 207RI0008X · License 2 (OK)

1000 HEALTH CENTER DR STE 204, Mattoon, IL 61938

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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 Abdul-hussein Md 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 ID2466620380

PECOS Enrollment IDI20241224001351

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

Medicare enrollment records show Mustafa Abdul-hussein reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sarah Bush Lincoln Health Center

Same address

Family Medicine

1000 HEALTH CENTER DR
Mattoon, IL 61938

Reassigned Medicare billing, Illinois enrollment
652 clinicians in this Medicare group

NPI 1568581379 (217) 258-2525

Baptist Health Services

441 mi

Foot & Ankle Surgery

1500 DODSON AVE STE 260
Fort Smith, AR 72901

Reassigned Medicare billing, Arkansas enrollment
193 clinicians in this Medicare group

NPI 1922587690 (479) 573-7905

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 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.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

32 services30 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

24 services24 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

19 services19 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

16 services15 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.

12 services12 patients

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.

12 services11 patients

Hospital Affiliations CMS Care Compare

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

Sarah Bush Lincoln Health Center

Acute Care Hospitals · Mattoon, IL

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140189

Location1000 Health Center Drive P O Box 372Mattoon, IL 61938 · Coles County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61938 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

$127.46 typical visit price

range $54.80 – $168.44

Typical copayment $31.86 (range $13.70 – $42.11)

Most-billed visit code 99204

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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 4

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

NORA PORTER

Nurse Practitioner

1000 HEALTH CENTER DR STE 204
MATTOON, IL 61938

Coles County (217) 258-4155

MRS. MEGAN LYNN WASCHER PA-C

Physician Assistant

1000 HEALTH CENTER DR STE 204
MATTOON, IL 61938

Coles County (217) 238-4155

JAYMON BHASKER PATEL M.D.

Internal Medicine (Gastroenterology)

1000 HEALTH CENTER DR STE 204
MATTOON, IL 61938

Coles County (217) 258-4155

TAYLOR JOHNSON MSN, APRN, FNP-BC

Nurse Practitioner (Family)

1000 HEALTH CENTER DR STE 204
MATTOON, IL 61938

Coles County (217) 258-4155

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 Abdul-hussein's NPI number?

The NPI number for Mustafa Abdul-hussein is 1972759173. It was assigned to this individual provider in the NPPES registry on August 7, 2008.

Where is Mustafa Abdul-hussein located?

Mustafa Abdul-hussein practices at 1000 Health Center Dr Ste 204, Mattoon, IL 61938. The listed phone number is (217) 258-4155.

What is Mustafa Abdul-hussein's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Mustafa Abdul-hussein enrolled in Medicare?

Yes. Mustafa Abdul-hussein 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 Abdul-hussein's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mustafa Abdul-hussein reassigns Medicare benefits to 2 organizations: Sarah Bush Lincoln Health Center (Mattoon, IL) and Baptist Health Services (Fort Smith, AR). 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 Abdul-hussein's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mustafa Abdul-hussein accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Mustafa Abdul-hussein 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 Abdul-hussein affiliated with any hospitals?

According to CMS data, Mustafa Abdul-hussein is affiliated with Sarah Bush Lincoln Health Center.

When was this NPI record last updated?

The NPPES record for Mustafa Abdul-hussein was last updated on December 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.