DR. MUSTAFA KAAKOUR MD
NPI 1245393040
Pathology - Cytopathology in Utica, NY
NPI Status: Active since December 19, 2006
Contact Information
1656 CHAMPLIN AVE
DEPARTMENT OF PATHOLOGY
UTICA, NY
ZIP 13502
Phone: (315) 797-0790
Fax: (315) 624-8204
- Individual
- Male
- Pathology
- Cytopathology
- PECOS Enrolled
About MUSTAFA KAAKOUR
This page provides the complete NPI Profile along with additional information for Mustafa Kaakour, a provider established in Utica, New York with a medical specialization in Pathology, focusing in cytopathology . The healthcare provider is registered in the NPI registry with number 1245393040 assigned on December 2006. The practitioner's primary taxonomy code is 207ZC0500X with license number 1894621 (NY). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1245393040
- Provider Name
- DR. MUSTAFA KAAKOUR MD
- Other Name
- DR. MUSTAFA ABDUL HADI KA' KUR MD
- Other Name Type
- Former Name (1)
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1656 CHAMPLIN AVE DEPARTMENT OF PATHOLOGY UTICA, NY 13502
- Location Phone
- (315) 797-0790
- Location Fax
- (315) 624-8204
- Mailing Address
- 117 SYLVAN WAY NEW HARTFORD, NY 13413
- Mailing Phone
- (315) 724-4429
- Mailing Fax
- (315) 624-8204
- Is Sole Proprietor?
- No
- Enumeration Date
- 12-19-2006
- Last Update Date
- 07-08-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pathology Cytopathology
- Taxonomy Code
- 207ZC0500X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 1894621
- License State
- NY
- Taxonomy Description
- A cytopathologist is an anatomic pathologist trained in the diagnosis of human disease by means of the study of cells obtained from body secretions and fluids, by scraping, washing, or sponging the surface of a lesion, or by the aspiration of a tumor mass or body organ with a fine needle. A major aspect of a cytopathologist's practice is the interpretation of Papanicolaou-stained smears of cells from the female reproductive systems, the Pap test. However, the cytopathologist's expertise is applied to the diagnosis of cells from all systems and areas of the body. He/she is a consultant to all medical specialists.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| G14865 | MEDICARE UPIN (02) | ||
| 81472 | OTHER (01) | NY | EMPIRE BC BS |
Medicare Participation & PECOS Enrollment Status
Mustafa Kaakour is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 13502 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $126.4
- Minimum New Patient Price $54.87
- Maximum New Patient Price $166.88
- Average New Patient Copayment $31.6
- Minimum New Patient Copayment $13.71
- Maximum New Patient Copayment $41.72
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $97.08
- Minimum Established Patient Price $17.54
- Maximum Established Patient Price $136.14
- Average Established Patient Copayment $24.27
- Minimum Established Patient Copayment $4.38
- Maximum Established Patient Copayment $34.03
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 4 | 5 | 3 | 9 | 3 | 0 | 4 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 8 | 5 | 6 | 9 | 6 | 0 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 8 + 5 + 6 + 9 + 6 + 0 + 8 + 24 = 70 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1245393040 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1184621401 | GEOFFREY SIMON M.D. Individual | Surgery | 1656 CHAMPLIN AVE SUITE 203 UTICA, NY 13502 (315) 738-0647 |
| 1669465977 | DR. LEE AVRAMIDIS M.D. Individual | Pediatrics (Adolescent Medicine) | 1656 CHAMPLIN AVE UTICA, NY 13502 (315) 732-1191 |
| 1053395152 | VICKI A. HAINES NP Individual | Nurse Practitioner (Adult Health) | 1656 CHAMPLIN AVE SUITE 203 UTICA, NY 13502 (315) 738-0647 |
| 1821056763 | DR. MAPATUNAGE ANANDA SIRIWARDENA M.D. Individual | Neuromusculoskeletal Medicine, Sports Medicine | 1656 CHAMPLIN AVE UTICA, NY 13502 (315) 624-6944 |
| 1528070273 | CHAMPLIN INPATIENT PHYSICIANS Organization | Internal Medicine | 1656 CHAMPLIN AVE UTICA, NY 13502 (315) 627-6000 |
| 1598839565 | LESTER D MANZANO M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 1656 CHAMPLIN AVE DEPARTMENT OF PATHOLOGY UTICA, NY 13502 (315) 624-8270 |
| 1255492385 | TOUFIK FARKOUH MD Organization | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 1656 CHAMPLIN AVE SUITE 338 UTICA, NY 13502 (315) 624-7500 |
| 1447382106 | NEW HARTFORD SCANNER ASSOCIATES Organization | Radiology (Diagnostic Radiology) | 1656 CHAMPLIN AVE SUITE 229 UTICA, NY 13502 (315) 624-6254 |
| 1851503643 | NEW YORK EM-III MEDICAL SERVICES, PC Organization | Internal Medicine | 1656 CHAMPLIN AVE UTICA, NY 13502 (315) 624-6467 |
| 1477761609 | MARY ELLEN WARD NP Individual | Nurse Practitioner (Family) | 1656 CHAMPLIN AVE SUITE 222 UTICA, NY 13502 (315) 724-7734 |
| 1609072115 | ANAND P RAVI MD Individual | Family Medicine | 1656 CHAMPLIN AVE UTICA, NY 13502 (315) 624-6467 |
| 1790969343 | MUKESH D. SHAH, OB-GYN P.C. Organization | Obstetrics & Gynecology (Gynecology) | 1656 CHAMPLIN AVE SUITE # 224 UTICA, NY 13502 (315) 724-4017 |
| 1689859258 | MRS. LINDSEY ROSS SIMON M.S.W.,L.C.S.W. Individual | Social Worker (Clinical) | 1656 CHAMPLIN AVE SUITE #203 UTICA, NY 13502 (315) 797-6655 |
| 1013185875 | MR. TRACY S HEATON R.PH, Individual | Pharmacist | 1656 CHAMPLIN AVE UTICA, NY 13502 (315) 624-6010 |
| 1366612723 | MATHEW J ULAHANNAN MD PC Organization | Internal Medicine | 1656 CHAMPLIN AVE UTICA, NY 13502 (315) 735-6141 |
| 1093956963 | SUDHIR C POTLURI OB/GYN PC Organization | Obstetrics & Gynecology | 1656 CHAMPLIN AVE 221 UTICA, NY 13502 (315) 266-0088 |
| 1790062586 | DR. MELISSA DIANNE HOWE PHARMD Individual | Pharmacist | 1656 CHAMPLIN AVE UTICA, NY 13502 (315) 624-6010 |
| 1578838462 | LEE AVRAMIDIS, MD Organization | Pediatrics (Adolescent Medicine) | 1656 CHAMPLIN AVE UTICA, NY 13502 (315) 732-1191 |
| 1770573081 | DR. DEVAYANI NAMASSIVAYA MD Individual | Internal Medicine (Infectious Disease) | 1656 CHAMPLIN AVE UTICA, NY 13502 (315) 624-6000 |
| 1881685832 | KENNETH K. KIM M.D. Individual | Orthopaedic Surgery | 1656 CHAMPLIN AVE UTICA, NY 13502 (315) 624-6000 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245393040, enumerated in the NPI registry as an "individual" on December 19, 2006
The provider is located at 1656 Champlin Ave Department Of Pathology Utica, Ny 13502 and the phone number is (315) 797-0790
The provider's speciality is Pathology with taxonomy code 207ZC0500X with a focus in Cytopathology
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $126.4 with an average copayment of $31.6 for new patient appointments. Established patients should expect a typical charge of $97.08 and an average copayment of 24.27. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on December 19, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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