USAMA M MOUSTAFA (MD) – Pediatrics Physician, NPI 1447439922
Pediatrics Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for USAMA M MOUSTAFA (MD)
Porte, Avenue Joseph Sinald, Base Aeroport, Pointe-Noire, Lumumba, Pointe-Noire, 4799, Congo-Brazzaville
LA PORTE, IN 463521690
Phone: (219) 326-2312
Fax: (219) 326-2584
Type: Mailing
1509, State Street, La Porte, LaPorte County, Indiana, 46350, United States
LA PORTE, IN 463503115
Phone: (219) 324-3431
Fax: (219) 362-3802
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 35 Open Payments records for all available years, with a total value of $966.
Total Amount is formed as General ($966) + Research ($0) + Ownership ($0) = $966.
Last reported payment date: 2024-10-31 • Largest payer in this snapshot: Tris Pharma Inc ($500).
Total Amount
$966
General + Research + Ownership
Payments
35
Total payment records
General Amount
$966
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-31
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2007-12-18
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20071218000384 | I | Pediatric Medicine | IN | TBD |
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.
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 46352)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiovascular Disease (Cardiology) | WI | |
| Nurse Practitioner | IN | |
| O P H T H A L M O L O G Y | IN | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IN | |
| Interventional Cardiology | TX | |
| Nurse Practitioner | IN | |
| - | IN | |
| - | IN | |
| - | IN | |
| - | IL |
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