Mustapha K Abouda (NPI# 1477654697, PAC ID# 1658306253) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1477654697 |
| PAC ID by PECOS | 1658306253 |
| Professional Enrollment ID | I20051128000607 |
| Full Name | Mustapha K Abouda |
| Organization Legal Name | ESPANOLA SPORTS MEDICINE PA |
| Address |
708 La Joya St Espanola NM 87532-2511 |
| Phone Number | 5057536550 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1989 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 2163691411 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 320033 | LOS ALAMOS MEDICAL CENTER |
| 320011 | PRESBYTERIAN ESPANOLA HOSPITAL |
| 320002 | CHRISTUS ST VINCENT REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1302 Calle De La Merced, Espanola, NM 87532-2624 | 5057539292 | LOS ALAMOS PHYSICIAN PRACTICES LLC |
| 708 La Joya St, Espanola, NM 87532-2511 | 5057536550 | ESPANOLA SPORTS MEDICINE PA |
| 3917 W Rd, Los Alamos, NM 87544-2275 | 5056619226 | LOS ALAMOS PHYSICIAN PRACTICES LLC |
| 3917 W Rd, Los Alamos, NM 87544-5307 | LOS ALAMOS PHYSICIAN PRACTICES LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_238_2+ | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 3% | |
| MIPS_EC_238_overall | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 9% |
| Organization Legal Name | ESPANOLA SPORTS MEDICINE PA |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Roger Cook | Family Medicine | Espanola Sports Medicine Pa | 708 La Joya St, Espanola, NM 87532-2511 |
| Linda M. Garcia-lucero | Nurse Practitioner | Espanola Sports Medicine Pa | 708 La Joya St, Espanola, NM 87532-2511 |
| Matthew W Mckinley | Orthopedic Surgery | Espanola Sports Medicine Pa | 708 La Joya St, Espanola, NM 87532-2511 |
| Rommel A Cruz | Physical Therapy | Espanola Sports Medicine Pa | 706 La Joya St D, Espanola, NM 87532-2877 |
| Street Address |
708 LA JOYA ST |
| City | ESPANOLA |
| State | NM |
| Zip | 87532-2511 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Roger Cook | Family Medicine | Espanola Sports Medicine Pa | 708 La Joya St, Espanola, NM 87532-2511 |
| Linda M. Garcia-lucero | Nurse Practitioner | Espanola Sports Medicine Pa | 708 La Joya St, Espanola, NM 87532-2511 |
| Matthew W Mckinley | Orthopedic Surgery | Espanola Sports Medicine Pa | 708 La Joya St, Espanola, NM 87532-2511 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Arjan K Khalsa | Chiropractic | 509 W Pueblo Dr, Espanola, NM 87532-2508 | |
| Catherine L Veilleux | Nurse Practitioner | 509 W Pueblo Dr, Espanola Advanced Center, Espanola, NM 87532-2508 | |
| John M Fox | Chiropractic | 628 Riverside Dr, Suite C, Espanola, NM 87532-2620 | |
| Salim Bohsali | Chiropractic | 234 N Paseo De Onate, Espanola, NM 87532-2623 | |
| Kimberly Allen | Nurse Practitioner | Presbyterian Healthcare Services | 1010 Spruce St, Espanola, NM 87532-2724 |
| Michael D Wagner | Pulmonary Disease | Presbyterian Healthcare Services | 1010 Spruce St, Espanola, NM 87532-2724 |
| Ryan W Tingle | Podiatry | Presbyterian Healthcare Services | 1010 Spruce St, Espanola, NM 87532-2724 |
| Jordan Alan Treworgy | Emergency Medicine | Presbyterian Healthcare Services | 1010 Spruce St, Espanola, NM 87532-2724 |
| Virginia E Harvey | Emergency Medicine | Presbyterian Healthcare Services | 1010 Spruce St, Espanola, NM 87532-2724 |
| Jonathan C Peachey | Nurse Practitioner | Presbyterian Healthcare Services | 1010 Spruce St, Espanola, NM 87532-2724 |
| Find all physicians in zip 87532 | |||
| City | ESPANOLA |
| Zip Code | 87532 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | ESPANOLA + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Mustapha K Abouda.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.