HASSAN M. MOSTAFA M.D. – NPI #1174939003
Internal Medicine

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

HASSAN MOSTAFA is a physician located in JACKSON, MI. NPPES has assigned the NPI number 1174939003 to HASSAN MOSTAFA on July 11, 2014. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease

The NPI profile was previously updated about 4 years ago on Apr 08, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for HASSAN MOSTAFA below.

NPI Profile for
HASSAN M. MOSTAFA

NPI Number
1174939003
Enumeration Date

(about 12 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
HASSAN M. MOSTAFA
Credentials
M.D.
Primary location
205 PAGE AVE STE B
JACKSON, MI 49201-2462
Phone: (517) 205-4800 Fax:
1 Other location(s):
13100 E 136th St Ste 3000
Fishers, IN 46037-9817
Phone: (317) 678-3900
Mailing address
1 FORD PL STE 2E
DETROIT, MI 48202-3450
Phone: Fax:
Sole Proprietor
No
Updated
Certification Date
Apr 08, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RC0000X
- Internal Medicine / Cardiovascular Disease (Primary)
IN 01077342A
390200000X
- Student in an Organized Health Care Education/Training Program
IN 11018018A

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
13100 E 136TH ST STE 3000,
FISHERS, IN 77025-1669

Additional Information

Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
HASSAN MOSTAFA is affiliated with the following medical group(s):
  • HOSPITAL
    • HENRY FORD ALLEGIANCE HEALTH
      205 N EAST AVE
      JACKSON, MI 49201

Why is my NPI data (personal information) being displayed publicly?
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How do I correct or change the NPI data displayed here?
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Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.