ELMOUTAZ TAWFIG MOUSA (M.D.) – Nephrology Physician, NPI 1124287735

ELMOUTAZ TAWFIG MOUSA (M.D.) is a healthcare provider. based in Lubbock, Texas. specializing in NEPHROLOGY, INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. Q4474 (TX). The NPI Number for ELMOUTAZ TAWFIG MOUSA (M.D.) is 1124287735

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
ELMOUTAZ TAWFIG MOUSA (M.D.)
NPI
1124287735
Phone
(806) 771-1386
Address
PO BOX 54136
Enumeration Date
9 June 2008
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8067717412
Graduation Year
2000 (26 years ago)
PAC ID
4486822640
Group Practice PAC ID
6406936525
Professional Enrollment ID
I20170722000197
Address ID
TX794101353LU3708XPLXX301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:18State licenses:1Digital endpointsOther names

1,168 NEPHROLOGY in TX

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Provider Addresses for ELMOUTAZ TAWFIG MOUSA (M.D.)

  • PO BOX 54136

    LUBBOCK, TX 794534136

    Phone: (806) 771-1386

    Fax: (806) 771-1388

    Type: Mailing

  • 22nd Place, Heart of Lubbock, Lubbock, Texas, 79411, United States

    LUBBOCK, TX 794101353

    Phone: (806) 771-7412

    Fax: (806) 771-7414

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 136 Open Payments records for all available years, with a total value of $3,505.

Total Amount is formed as General ($3,505) + Research ($0) + Ownership ($0) = $3,505.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($653).

Total Amount

$3,505

General + Research + Ownership

Payments

136

Total payment records

General Amount

$3,505

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

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: 2017-07-22

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
I20170722000197INephrologyTXTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes652111$0
99214Established patient office or other outpatient visit, 30-39 minutes15189$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes14296$0
90935Hemodialysis procedure with physician evaluation10236$0
99203New patient office or other outpatient visit, 30-44 minutes3131$0
View full utilization report →

Insurance plans in this area (ZIP 79453)

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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: 6406936525View full group profile
NameSpecialtyState
Nephrology, Internal MedicineTX
Nephrology, Internal MedicineTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

How do payers reference ELMOUTAZ TAWFIG MOUSA (M.D.)?
For ELMOUTAZ TAWFIG MOUSA (M.D.), use NPI 1124287735 as the unique 10-digit identifier.
Is there an active status for ELMOUTAZ TAWFIG MOUSA (M.D.)?
For scheduling context, ELMOUTAZ TAWFIG MOUSA (M.D.) is shown as active in the registry.
How would a patient describe ELMOUTAZ TAWFIG MOUSA (M.D.)'s focus?
For ELMOUTAZ TAWFIG MOUSA (M.D.), the primary taxonomy reads as Nephrology Physician. Clinical services aligned with this taxonomy classification.
Is ELMOUTAZ TAWFIG MOUSA (M.D.) located near Lubbock?
ELMOUTAZ TAWFIG MOUSA (M.D.) currently maps to Lubbock, Texas in this extract.
When was this NPI issued?
Enumeration for ELMOUTAZ TAWFIG MOUSA (M.D.) is noted as June 9, 2008 where the registry provides it.

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