MR. MANSURU MUSTAPHA (PHYSICIAN ASSISTANT) – Physician Assistant, NPI 1013159193

MR. MANSURU MUSTAPHA (PHYSICIAN ASSISTANT) is a healthcare provider. based in Tacoma, Washington. specializing in Physician Assistant. They hold the professional credentials PHYSICIAN ASSISTANT. The NPI Number for MR. MANSURU MUSTAPHA (PHYSICIAN ASSISTANT) is 1013159193

Main info

Male
Name
MR. MANSURU MUSTAPHA (PHYSICIAN ASSISTANT)
NPI
1013159193
Phone
(253) 968-2252
Address
MADIGAN ARMY CENTER 9040 REID ST
Enumeration Date
3 April 2009
Last Update Date
30 May 2013
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:17State licenses:0Digital endpointsOther names

Provider Addresses for MR. MANSURU MUSTAPHA (PHYSICIAN ASSISTANT)

  • MADIGAN ARMY CENTER 9040 REID ST

    ATTN: MCHJ-CLQ-C

    TACOMA, WA 984311100

    Phone: (253) 968-2252

    Fax: (253) 968-3278

    Type: Mailing

  • 9119 MIL PARK AVE

    WINDER CLINIC -RAIDER CLINIC

    JBLM, WA 984331100

    Phone: (253) 477-0800

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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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 98431)

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Reviews

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Frequently asked questions

What is the standard ID for MR. MANSURU MUSTAPHA (PHYSICIAN ASSISTANT) in the U.S.?
In the U.S., MR. MANSURU MUSTAPHA (PHYSICIAN ASSISTANT) is identified by NPI 1013159193.
Does the public listing show MR. MANSURU MUSTAPHA (PHYSICIAN ASSISTANT) as active?
MR. MANSURU MUSTAPHA (PHYSICIAN ASSISTANT)'s NPI record reflects an active status in NPPES.
How should patients interpret MR. MANSURU MUSTAPHA (PHYSICIAN ASSISTANT)'s specialty?
The extract shows Physician Assistant for MR. MANSURU MUSTAPHA (PHYSICIAN ASSISTANT). Clinical services aligned with this taxonomy classification.
Which community is linked to MR. MANSURU MUSTAPHA (PHYSICIAN ASSISTANT)?
MR. MANSURU MUSTAPHA (PHYSICIAN ASSISTANT) shows a connection to Tacoma, Washington in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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