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

Individual provider Family Medicine Physician · NPI 1508356460

Shadi Suhail Mustafa, MD is a Family Practice in Waterloo, Iowa. Qualified in 2018, 8 years ago. Practices with Austin Regional Clinic PA, a 397-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Iowa.

Years since qualifying
8
Licensed in
IA
In the registry since
2018
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2055 Kimball Ave Ste 101
Waterloo, IA 50702-5047
Phone: (319) 272-2112
Fax: (319) 272-2107
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence R-11097 (IA)

Record details

NPI number1508356460
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 16, 2018
Last updated in NPPESMay 16, 2018

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Austin Regional Clinic Pa — 397 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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