MOSTAFA GAMAL HUSSIEN AB ELRAZZAZ – Internal Medicine Physician, NPI 1063155968
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,218 INTERNAL MEDICINE in MI
Provider Addresses for MOSTAFA GAMAL HUSSIEN AB ELRAZZAZ
4201 SAINT ANTOINE ST # 9C
DETROIT, MI 482012153
Phone: (313) 966-7434
Type: Mailing
6071 W OUTER DR DEPT OF
DETROIT, MI 482352624
Phone: (313) 966-7434
Type: Location
1140 PREMIER KEY DR
CARY, NC 275135372
Phone: (502) 389-8568
Type: Mailing
142 S MAIN ST
DANVILLE, VA 245412922
Phone: (434) 799-2225
Type: Location
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 $25.
Total Amount is formed as General ($25) + Research ($0) + Ownership ($0) = $25.
Last reported payment date: 2024-07-24 • Largest payer in this snapshot: ABBVIE INC. ($25).
Total Amount
$25
General + Research + Ownership
Payments
1
Total payment records
General Amount
$25
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $25 |
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: 2025-01-21
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 |
|---|---|---|---|---|
| I20250121002604 | I | Internal Medicine | VA | 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 48201)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Hospitalist, Internal Medicine | NV | |
| Internal Medicine | VA | |
| Internal Medicine | VA | |
| Internal Medicine | WA | |
| Hospitalist, Internal Medicine | VA | |
| H O S P I T A L I S T | NC | |
| Internal Medicine | MD | |
| Internal Medicine | SC | |
| Family Practice, Hospitalist | ID | |
| Internal Medicine | VA |
Reviews
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