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

Mustafa Kaisi

Individual provider Internal Medicine Physician · NPI 1457742934

Mustafa Kaisi is an Internal Medicine in Providence, Rhode Island. Qualified in 2003, 23 years ago. Practices with Emergency and Acute Care Medical Corporation, a 439-clinician group and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
23
Licensed in
RI
In the registry since
2015
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Practice location Address checks out

164 Summit Ave
Providence, RI 02906-2853
Phone: (401) 793-2104
Fax: (401) 793-4047
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MD15464 (RI)

Record details

NPI number1457742934
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 5, 2015
Last updated in NPPESJune 22, 2016
Mailing address164 Summit Ave, Providence, RI 02906-2853

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Emergency And Acute Care Medical Corporation — 439 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Providence