Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Mustafa Kaisi

Individual provider Internal Medicine Physician · NPI 1457742934

Mustafa Kaisi practises 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 Not confirmed with CMS for 10 years — call before visiting
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

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

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients258
Services billed 1,211 a service is one billed item, such as a visit, a test or a procedure
Average patient age79

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

Colleagues at Emergency and Acute Care Medical Corporation

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 439 clinicians in the practice; 12 are shown here.

Other providers in Providence