Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Moustafa Moussally

Individual provider General Practice Physician · NPI 1104434620

Moustafa Moussally is a Colorectal Surgery (Proctology) in Cleveland, Ohio. Qualified in 2019, 7 years ago. Licensed in Ohio.

Years since qualifying
7
Licensed in
OH
In the registry since
2020

Practice location Address checks out

9500 Euclid Ave
Cleveland, OH 44195-0001
Phone: (216) 444-2200
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 57.249624 (OH)

Record details

NPI number1104434620
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 21, 2020
Last updated in NPPESJuly 21, 2020
Certification dateJuly 21, 2020
Mailing address2495 Interlachen Ln, Westlake, OH 44145-4381

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCOLORECTAL SURGERY (PROCTOLOGY)
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated

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