DR. MUSTAFA MOHAMMED MOAZAM (MD) – Internal Medicine Physician, NPI 1306987474

DR. MUSTAFA MOHAMMED MOAZAM (MD) is a healthcare provider. based in Las cruces, New Mexico. specializing in INTERNAL MEDICINE, PSYCHIATRY, HEMATOLOGY, PSYCHIATRY, HEMATOLOGY/ONCOLOGY, PEDIATRIC MEDICINE. They hold the professional credentials MD. They hold a License No. 036.177866 (IL). The NPI Number for DR. MUSTAFA MOHAMMED MOAZAM (MD) is 1306987474

Main info

Male
Sole Proprietor
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. MUSTAFA MOHAMMED MOAZAM (MD)
NPI
1306987474
Phone
(915) 704-4427
Address
1161 MALL DR
Enumeration Date
9 February 2007
Last Update Date
23 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9158523225
Graduation Year
2000 (26 years ago)
PAC ID
0648329755
Group Practice PAC ID
4486815008
Professional Enrollment ID
I20160818001476
Address ID
CO802605982TH1700XAVEX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience81
Completeness85
Years active:19State licenses:2Digital endpointsOther names

1,069 INTERNAL MEDICINE in NM

Provider Addresses for DR. MUSTAFA MOHAMMED MOAZAM (MD)

  • 1161 MALL DR

    STE C

    LAS CRUCES, NM 880118193

    Phone: (915) 704-4427

    Fax: (877) 761-6002

    Type: Location

  • 7106 SPENCER HWY

    PASADENA, TX 775051806

    Phone: (832) 940-7071

    Fax: (877) 761-6002

    Type: Location

  • 14470 HORIZON BLVD

    SUITE J

    HORIZON CITY, TX 799287695

    Phone: (915) 852-3225

    Fax: (915) 209-8289

    Type: Mailing

  • 3913 Broaddus Ave

    El Paso, TX 799045503

    Phone: (915) 852-3225

    Type: Location

  • 7106 Spencer Hwy

    Pasadena, TX 775051806

    Phone: (832) 940-7071

    Fax: (877) 761-6002

    Type: Location

  • 14470 HORIZON BLVD STE J

    HORIZON CITY, TX 799287696

    Phone: (915) 852-3225

    Fax: (915) 209-8289

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 52 Open Payments records for all available years, with a total value of $1,150.

Total Amount is formed as General ($1,150) + Research ($0) + Ownership ($0) = $1,150.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Lilly USA, LLC ($208).

Total Amount

$1,150

General + Research + Ownership

Payments

52

Total payment records

General Amount

$1,150

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2026-02-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

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
I20101005000250IInternal MedicineTXTBD
I20160818001476IPsychiatryCOTBD
I20161019002519IInternal MedicineNMTBD
I20260204002198IPsychiatryILTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes468126$0
99458Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes29827$0
99457Management using the results of remote vital sign monitoring per calendar month, first 20 minutes18930$0
99454Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days13826$0
80305Testing for presence of drug, read by direct observation5915$0
View full utilization report →

Insurance plans in this area (ZIP 88011)

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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: 4486815008View full group profile
NameSpecialtyState
Family PracticeTX
Family PracticeNM

Reviews

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Frequently asked questions

What is DR. MUSTAFA MOHAMMED MOAZAM (MD)'s NPI number?
DR. MUSTAFA MOHAMMED MOAZAM (MD)'s NPI is 1306987474 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to DR. MUSTAFA MOHAMMED MOAZAM (MD)?
You should see DR. MUSTAFA MOHAMMED MOAZAM (MD) as active in CMS-hosted NPPES data.
What clinical focus is listed for DR. MUSTAFA MOHAMMED MOAZAM (MD)?
At a glance, DR. MUSTAFA MOHAMMED MOAZAM (MD) is tied to Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. MUSTAFA MOHAMMED MOAZAM (MD) located near Las Cruces?
DR. MUSTAFA MOHAMMED MOAZAM (MD) currently maps to Las Cruces, New Mexico in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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