DR. MUSTAPHA KAMEL ABOUDA (MD) – Family Medicine Physician, NPI 1477654697

DR. MUSTAPHA KAMEL ABOUDA (MD) is a healthcare provider. based in Espanola, New Mexico. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. M020550567 (NM). The NPI Number for DR. MUSTAPHA KAMEL ABOUDA (MD) is 1477654697

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
DR. MUSTAPHA KAMEL ABOUDA (MD)
NPI
1477654697
Phone
(505) 753-9292
Address
1302 E CALLE DE MERCED
Enumeration Date
26 September 2006
Last Update Date
13 April 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5056619313
Graduation Year
1989 (37 years ago)
PAC ID
1658306253
Group Practice PAC ID
4587661541
Professional Enrollment ID
I20051128000607
Address ID
NM875442275LO3917XRDXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

999 FAMILY PRACTICE in NM

Provider Addresses for DR. MUSTAPHA KAMEL ABOUDA (MD)

  • 1302 E CALLE DE MERCED

    ESPANOLA, NM 87532

    Phone: (505) 753-9292

    Fax: (505) 753-1866

    Type: Location

  • Española Post Office, Delgado Circle, Española, Espanola, Rio Arriba County, New Mexico, 87533, United States

    ESPANOLA, NM 875322219

    Phone: (505) 753-9292

    Fax: (505) 753-1866

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $65.

Total Amount is formed as General ($65) + Research ($0) + Ownership ($0) = $65.

Last reported payment date: 2023-06-19 • Largest payer in this snapshot: Lilly USA, LLC ($38).

Total Amount

$65

General + Research + Ownership

Payments

3

Total payment records

General Amount

$65

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-19

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: 2005-11-28

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
I20051128000607IFamily PracticeNMTBD

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 minutes525202$0
99213Established patient office or other outpatient visit, 20-29 minutes307129$0
G0008Administration of influenza virus vaccine140139$0
90694Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage116116$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg9713$0
View full utilization report →

Insurance plans in this area (ZIP 87532)

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Provider's Procedures

DR. MUSTAPHA KAMEL ABOUDA (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINENM20610Aspiration and/or injection of large joint or joint capsule1714

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: 4587661541View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YMI
Gastroenterology, Internal MedicineAZ
Nurse PractitionerNM
General SurgeryLA
General SurgeryOH
Gastroenterology, Internal MedicineFL
Physician AssistantWI
Orthopedic SurgeryNM
General SurgeryNM
O B S T E T R I C S/ G Y N E C O L O G YOH

Reviews

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Frequently asked questions

Where can patients find DR. MUSTAPHA KAMEL ABOUDA (MD)'s NPI?
You can confirm DR. MUSTAPHA KAMEL ABOUDA (MD) with NPI 1477654697; it appears in the national provider directory.
Does this profile mean DR. MUSTAPHA KAMEL ABOUDA (MD) is currently active?
Yes — DR. MUSTAPHA KAMEL ABOUDA (MD) appears active in the national provider directory.
What field does DR. MUSTAPHA KAMEL ABOUDA (MD) work in?
You can think of DR. MUSTAPHA KAMEL ABOUDA (MD) as practicing within Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Does DR. MUSTAPHA KAMEL ABOUDA (MD) practice in New Mexico?
You will see Espanola, New Mexico on file for DR. MUSTAPHA KAMEL ABOUDA (MD) alongside any extra practice locations.
Is DR. MUSTAPHA KAMEL ABOUDA (MD) a real provider?
This page reflects official NPPES data for NPI 1477654697. Always confirm identity and privileges with the practice and licensing boards.

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