Laura Moustafa
Laura Moustafa is a Pediatrics Physician in Maple Grove, MN, registered under NPI 1003236704. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.
Getting there
Here is what surrounds this office in Maple Grove, based on OpenStreetMap data collected Sep 13, 2026. No dedicated parking is recorded within walking distance, so allow extra time to find street parking. The nearest transit stop is 561 ft away, served by Bass Lake Rd. A pharmacy sits 0.51 mi from the entrance (CVS Pharmacy), which helps if you leave with a prescription.
Getting here and what is nearby
Transit Quinwood Ln 311 ft ~2 min
Gas station Holiday 358 ft ~2 min
Restaurant Subway 383 ft ~2 min
12744 Bass Lake Road, Maple Grove 55369
Mo-Fr 07:00-21:00; Sa-Su 09:00-21:00
Restaurant Culver's 445 ft ~2 min
6175 Quinwood Lane, Plymouth 55442
Mo-Su 10:00-22:00
Transit Bass Lk/ 62 Place 499 ft ~2 min
Transit Bass Lake Rd 561 ft ~3 min
Hotel Extended Stay America - Minneapolis - Maple Grove 0.37 mi ~8 min
Gas station Holiday 0.42 mi ~9 min
Restaurant Jimmy John's 0.43 mi ~9 min
Gas station BP 0.45 mi ~9 min
Hotel Hilton Garden Inn 0.46 mi ~10 min
Pharmacy CVS Pharmacy 0.51 mi ~11 min
Distances are straight‑line estimates — walking routes may be longer. Hours and phone numbers can change; call ahead to confirm.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 61732 | MN | Pediatrics Physician primary |
This provider holds licence 61732 issued in MN. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Pediatric Medicine
- PAC ID
- 2466750831
- Enrollment ID
- I20181029001401
Medicare enrolment is recorded as approved under the provider type Practitioner - Pediatric Medicine. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Pediatrics covers
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. NUCC Health Care Provider Taxonomy, code 208000000X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 208000000X | Pediatrics Physician | 61732 | MN | primary |
| 390200000X | Student in an Organized Health Care Education/Training Program | — | — |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1003236704 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Apr 21, 2014 |
| Last updated | May 11, 2021 |
| Status | Active |
| Sole proprietor | Yes |
| Gender | Female |
| Practice address |
12720 BASS LAKE RD Maple Grove, MN 55369 (763) 559-2861 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 0 | 3 | 2 | 3 | 6 | 7 | 0 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 0 | 3 | 4 | 3 | 3 | 7 | 0 |
Sum = 46 · next multiple of 10 = 50 · check digit = 4 · actual last digit = 4
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.