Usama M Moustafa, MD - Medicare Pediatrics in La Porte, IN

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Usama M Moustafa, MD is a medicare enrolled "Pediatrics" physician in La Porte, Indiana. His current practice location is 1509 State St, La Porte, Indiana. You can reach out to his office (for appointments etc.) via phone at (219) 324-3431.

Usama M Moustafa is licensed to practice in Indiana (license number 01064003A) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1447439922.

Contact Information

Usama M Moustafa, MD
1509 State St,
La Porte, IN 46350-3115
(219) 324-3431
(219) 362-3802

Map and Direction




Physician's Profile

Full NameUsama M Moustafa
GenderMale
SpecialityPediatrics
Location1509 State St, La Porte, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1447439922
  • Provider Enumeration Date: 10/31/2007
  • Last Update Date: 09/16/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 8022108786
  • Enrollment ID: I20071218000384

Medical Identifiers

Medical identifiers for Usama M Moustafa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1447439922NPI-NPPES
200877280MedicaidIN
000000542445OtherINANTHEM, BLUE CROSS BLUE SHIELD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 01064003A (Indiana)Primary

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. Usama M Moustafa allows following entities to bill medicare on his behalf.
Entity NameIndiana University Health La Porte Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760593776
PECOS PAC ID: 0345147963
Enrollment ID: O20031212000670
Entity NameLa Porte Clinic Company Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568829224
PECOS PAC ID: 0446558357
Enrollment ID: O20160408001751

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. Usama M Moustafa 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
Usama M Moustafa, MD
Po Box 1690,
La Porte, IN 46352-1690

Ph: (219) 326-2312		Usama M Moustafa, MD
1509 State St,
La Porte, IN 46350-3115

Ph: (219) 324-3431

Reviews and Comments


Pediatrics Doctors in La Porte, IN

Sara Christie, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 222 E Lincolnway Ste A, La Porte, IN 46350
Phone: 219-324-4499    Fax: 219-324-0220

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.