DR. MUSTAFA FIKRI ALKHOULI (DO) – Orthopaedic Trauma Physician, NPI 1306474945

DR. MUSTAFA FIKRI ALKHOULI (DO) is a healthcare provider. based in Modesto, California. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials DO. They hold a License No. 19346 (CA). The NPI Number for DR. MUSTAFA FIKRI ALKHOULI (DO) is 1306474945

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
DR. MUSTAFA FIKRI ALKHOULI (DO)
NPI
1306474945
Phone
Not provided
Address
1400 FLORIDA AVE STE 102
Enumeration Date
30 March 2020
Last Update Date
14 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
91653694556
Graduation Year
2020 (6 years ago)
PAC ID
1052810975
Group Practice PAC ID
5698781938
Professional Enrollment ID
I20250818003420
Address ID
CA956086337CA6620XAVEX304
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness85
Years active:6State licenses:1Digital endpointsOther names

3,024 ORTHOPEDIC SURGERY in CA

Provider Addresses for DR. MUSTAFA FIKRI ALKHOULI (DO)

  • 1400 FLORIDA AVE STE 102

    MODESTO, CA 953504446

    Phone:

    Type: Mailing

  • 6620 COYLE AVE

    CARMICHAEL, CA 95608

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 17 Open Payments records for all available years, with a total value of $2,773.

Total Amount is formed as General ($2,773) + Research ($0) + Ownership ($0) = $2,773.

Last reported payment date: 2024-12-07 • Largest payer in this snapshot: Smith+Nephew, Inc. ($2,658).

Total Amount

$2,773

General + Research + Ownership

Payments

17

Total payment records

General Amount

$2,773

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-07

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-08-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250818003420IOrthopedic SurgeryCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 95350)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5698781938View full group profile
NameSpecialtyState
Orthopedic SurgeryID
Nurse PractitionerCA
Orthopedic SurgeryCA
Physician AssistantCA
Physician AssistantWA
Orthopedic SurgeryCA
Orthopedic SurgeryCA
Orthopedic SurgeryMI
Orthopedic SurgeryCA
Orthopedic SurgeryOR

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. MUSTAFA FIKRI ALKHOULI (DO)?
DR. MUSTAFA FIKRI ALKHOULI (DO) — NPI 1306474945 — is the standard way to identify this listing.
Does CMS list DR. MUSTAFA FIKRI ALKHOULI (DO) as active?
Yes — DR. MUSTAFA FIKRI ALKHOULI (DO) is active in the NPI listing used on this page.
What healthcare role does DR. MUSTAFA FIKRI ALKHOULI (DO) hold?
Scheduling teams often label DR. MUSTAFA FIKRI ALKHOULI (DO) under Orthopaedic Trauma Physician. Clinical services aligned with this taxonomy classification.
Does DR. MUSTAFA FIKRI ALKHOULI (DO) list a practice location?
Patients near Modesto, California may find DR. MUSTAFA FIKRI ALKHOULI (DO) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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