DR. ROLANDO DOMINGUEZ MUSTAFA M.D. NPI 1508145251

NPI Information

  • NPI: 1508145251
  • Provider Name: DR. ROLANDO DOMINGUEZ MUSTAFA, M.D.
  • Classification: Family Medicine - 207QA0505X
  • Specialization: Adult Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 777 W DUVAL ST
    LAKE CITY, FL
    ZIP 32055
  • Phone: (386) 755-3500

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NPI Details

DR. Rolando Dominguez Mustafa, M.D. is an adult medicine family medicine in Lake City, FL with 21 years of experience. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. DR. Rolando Dominguez Mustafa, M.D. NPI is 1508145251. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

777 W DUVAL ST
LAKE CITY, FL
ZIP 32055-806
Phone: (386) 755-3500

The NPI 1508145251 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Follow-up nursing facility visit per day, typically 25 minutes (HCPCS:99309)
  • Follow-up nursing facility visit per day, typically 35 minutes (HCPCS:99310)
  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • Initial nursing facility visit per day, typically 45 minutes (HCPCS:99306)
  • Follow-up nursing facility visit per day, typically 15 minutes (HCPCS:99308)
  • Nursing facility discharge day management, 30 minutes or less (HCPCS:99315)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Hospital discharge day management, more than 30 minutes (HCPCS:99239)
  • Critical care, first 30-74 minutes (HCPCS:99291)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Nursing facility discharge management, more than 30 minutes (HCPCS:99316)
  • Initial hospital observation care per day, typically 70 minutes (HCPCS:99220)
  • Hospital observation care on day of discharge (HCPCS:99217)
  • Initial nursing facility visit per day, typically 25 minutes (HCPCS:99304)

The enumeration date for this NPI number is 8/12/2011 and was last updated on 8/13/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208M00000XHospitalistME123013FLORIDANo
2207QA0505XFamily MedicineAdult MedicineME123013FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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