BILAL MUSTAFA (MD) – Internal Medicine Physician, NPI 1356661185

BILAL MUSTAFA (MD) is a healthcare provider. based in Lexington, Kentucky. specializing in INTERNAL MEDICINE, CRITICAL CARE (INTENSIVISTS), PULMONARY DISEASE. They hold the professional credentials MD. They hold a License No. Q8971 (TX). The NPI Number for BILAL MUSTAFA (MD) is 1356661185

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
BILAL MUSTAFA (MD)
NPI
1356661185
Phone
(859) 257-1000
Address
800 Rose St
Enumeration Date
3 June 2010
Last Update Date
27 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9549395000
Graduation Year
2007 (19 years ago)
PAC ID
1557587607
Group Practice PAC ID
0244577385
Professional Enrollment ID
I20161207000154
Address ID
TX750717822MC5268XDRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience84
Completeness85
Years active:16State licenses:3Digital endpointsOther names

2,216 INTERNAL MEDICINE in KY

Provider Addresses for BILAL MUSTAFA (MD)

  • 800 Rose St

    Lexington, KY 405360293

    Phone: (859) 257-1000

    Type: Location

  • 2001 N JEFFERSON AVE

    Mount Pleasant, TX 754552338

    Phone: (903) 577-6000

    Fax: (903) 577-6245

    Type: Location

  • ELM AND CARLTON ST

    BUFFALO, NY 142630001

    Phone: (716) 845-2300

    Fax: (716) 845-1110

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $13.

Total Amount is formed as General ($13) + Research ($0) + Ownership ($0) = $13.

Last reported payment date: 2023-07-25 • Largest payer in this snapshot: Tactile Systems Technology Inc ($13).

Total Amount

$13

General + Research + Ownership

Payments

1

Total payment records

General Amount

$13

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-07-25

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: 2020-06-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20161207000154IInternal MedicineTXTBD
I20200604001641ICritical Care (Intensivists)NCTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes232109$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes19090$0
99291Critical care, first 30-74 minutes11560$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes8281$0
View full utilization report →

Insurance plans in this area (ZIP 40536)

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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: 0244577385View full group profile
NameSpecialtyState
Internal Medicine, Critical Care (Intensivists), Pulmonary DiseaseTX
Critical Care (Intensivists), Pulmonary DiseaseTX
Internal MedicineTX
Internal MedicineOH
Internal Medicine, Internal Medicine, Critical Care (Intensivists)WV
Pulmonary Disease, Internal MedicineNV
Critical Care (Intensivists)AZ
Internal Medicine, Critical Care (Intensivists), Pulmonary DiseaseTX
Internal MedicineNY
Internal Medicine, Pulmonary DiseaseMO

Reviews

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Frequently asked questions

What unique ID ties claims to BILAL MUSTAFA (MD)?
NPI 1356661185 is assigned to BILAL MUSTAFA (MD) under the national enumeration system.
Is BILAL MUSTAFA (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is BILAL MUSTAFA (MD)?
The page reflects Internal Medicine Physician for BILAL MUSTAFA (MD). Clinical services aligned with this taxonomy classification.
What location shows for BILAL MUSTAFA (MD)?
We surface Lexington, Kentucky for BILAL MUSTAFA (MD) based on available NPPES addresses.
Is BILAL MUSTAFA (MD) a real provider?
This page reflects official NPPES data for NPI 1356661185. Always confirm identity and privileges with the practice and licensing boards.

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