Mustapha El Halabi, MD - Medicare Gastroenterology in Florence, KY

Mustapha El Halabi, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Florence, Kentucky. He graduated from medical school in 2009 and has 15 years of diverse experience with area of expertise as Gastroenterology. He is a member of the group practice Summit Medical Group, Inc and his current practice location is 4900 Houston Rd, Florence, Kentucky. You can reach out to his office (for appointments etc.) via phone at (859) 331-6466.

Mustapha El Halabi is licensed to practice in Kentucky (license number 50985) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1316292329.

Contact Information

Mustapha El Halabi, MD
4900 Houston Rd,
Florence, KY 41042-4824
(859) 331-6466
(859) 344-7930

Map and Direction




Physician's Profile

Full NameMustapha El Halabi
GenderMale
SpecialityGastroenterology
Experience15 Years
Location4900 Houston Rd, Florence, Kentucky
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mustapha El Halabi graduated from medical school in 2009
  NPI Data:
  • NPI Number: 1316292329
  • Provider Enumeration Date: 07/16/2012
  • Last Update Date: 07/08/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3678721206
  • Enrollment ID: I20180725003936

Medical Identifiers

Medical identifiers for Mustapha El Halabi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316292329NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 9407829 (Kansas)Secondary
207RG0100XInternal Medicine - Gastroenterology 01075002A (Indiana)Secondary
207RG0100XInternal Medicine - Gastroenterology 50985 (Kentucky)Primary
207R00000XInternal Medicine 01075002A (Indiana)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Elizabeth FlorenceFlorence, KYHospital
St Elizabeth EdgewoodEdgewood, KYHospital
St Elizabeth Ft ThomasFort thomas, KYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Summit Medical Group, Inc2163326240712

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mustapha El Halabi allows following entities to bill medicare on his behalf.
Entity NameSummit Medical Group, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508287640
PECOS PAC ID: 2163326240
Enrollment ID: O20031120000738

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mustapha El Halabi is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mustapha El Halabi, MD
Po Box 635283,
Cincinnati, OH 45263-5283

Ph: (859) 331-6466
Mustapha El Halabi, MD
4900 Houston Rd,
Florence, KY 41042-4824

Ph: (859) 331-6466

Reviews and Comments


Internal Medicine Doctors in Florence, KY

Karan Motiani, M.D.
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 4900 Houston Rd, Florence, KY 41042
Phone: 859-301-8074    Fax: 859-301-4945
Elham Shanehsaz, MD
Gastroenterology
Medicare: Not Enrolled in Medicare
Practice Location: 4900 Houston Road, Florence, KY 41042
Phone: 859-301-8074    
Clebert Isma Jr., MD
Gastroenterology
Medicare: Medicare Enrolled
Practice Location: 4900 Houston Rd, Florence, KY 41042
Phone: 859-301-8074    Fax: 859-301-4945
Aishwarya Rushyal Shyamraj, M.D.
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 4900 Houston Rd, Florence, KY 41042
Phone: 859-331-6466    Fax: 859-344-7930
Barbara Marie Okafor, MD
Gastroenterology
Medicare: Medicare Enrolled
Practice Location: 7370 Turfway Rd, Florence, KY 41042
Phone: 859-757-4446    Fax: 859-344-1999
Patricia Miles, M.D.
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 7388 Turfway Rd, Florence, KY 41042
Phone: 859-301-9140    Fax: 859-212-5124
Dhanunjay Sarma Boyalakuntla,
Gastroenterology
Medicare: Medicare Enrolled
Practice Location: 4900 Houston Rd, Florence, KY 41042
Phone: 859-301-8074    Fax: 859-301-4945

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.