KHADER MUSTAFA – Rheumatology Physician, NPI 1881078533

KHADER MUSTAFA is a healthcare provider. based in Cleveland heights, Ohio. specializing in RHEUMATOLOGY. They hold a License No. 35063837 (OH). The NPI Number for KHADER MUSTAFA is 1881078533

Main info

Male
Sole Proprietor
45 Years Of Experience
Accepts Medicare Assignment
Name
KHADER MUSTAFA
NPI
1881078533
Phone
(216) 392-4891
Address
30 Severance Cir
Enumeration Date
13 July 2015
Last Update Date
22 January 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5675850005
Graduation Year
1981 (45 years ago)
PAC ID
2264799444
Group Practice PAC ID
2365348190
Professional Enrollment ID
I20171122002409
Address ID
OH435602767SY5700XSTXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

297 RHEUMATOLOGY in OH

Provider Addresses for KHADER MUSTAFA

  • 30 Severance Cir

    Apartment 601

    Cleveland Heights, OH 441181531

    Phone: (216) 392-4891

    Type: Location

  • 5700 Monroe St Unit 202

    Sylvania, OH 43560

    Phone: (567) 585-0115

    Type: Location

  • 5700 MONROE ST UNIT 202

    SYLVANIA, OH 43560

    Phone: (567) 585-0115

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 78 Open Payments records for all available years, with a total value of $1,377.

Total Amount is formed as General ($1,377) + Research ($0) + Ownership ($0) = $1,377.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: ABBVIE INC. ($708).

Total Amount

$1,377

General + Research + Ownership

Payments

78

Total payment records

General Amount

$1,377

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

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: 2017-11-22

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
I20171122002409IRheumatologyOHTBD

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
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg39338$0
99214Established patient office or other outpatient visit, 30-39 minutes205137$0
20610Aspiration and/or injection of fluid from large joint5930$0
99204New patient office or other outpatient visit, 45-59 minutes4949$0
99215Established patient office or other outpatient visit, 40-54 minutes4527$0
View full utilization report →

Insurance plans in this area (ZIP 44118)

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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: 2365348190View full group profile
NameSpecialtyState
-OH
Certified Registered Nurse Anesthetist (Crna)OH
-OH
-OH
-OH
Nurse PractitionerOH
-OH
Certified Registered Nurse Anesthetist (Crna)TX
-OH
-OH

Reviews

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Frequently asked questions

Is there an official ID for KHADER MUSTAFA in U.S. healthcare records?
The official identifier for KHADER MUSTAFA is NPI 1881078533.
Is there an active status for KHADER MUSTAFA?
For scheduling context, KHADER MUSTAFA is shown as active in the registry.
How would a patient describe KHADER MUSTAFA's focus?
For KHADER MUSTAFA, the primary taxonomy reads as Rheumatology Physician. Clinical services aligned with this taxonomy classification.
Is KHADER MUSTAFA associated with Cleveland Heights?
Public fields place KHADER MUSTAFA around Cleveland Heights, Ohio. Always confirm the exact site before visiting.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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