Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Michael Joel Mastous, PA-C

Individual provider Medical Physician Assistant · NPI 1073865465

Michael Joel Mastous, PA-C is a Physician Assistant in Edina, Minnesota. Qualified in 2012, 14 years ago. Practices with Allina Health System, a 3,867-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
14
Licensed in
MN
In the registry since
2012
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

8100 W 78th St Ste 230
Edina, MN 55439-2570
Phone: (952) 946-9777
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 1821 (MN)

Record details

NPI number1073865465
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 9, 2012
Last updated in NPPESMarch 11, 2021
Certification dateMarch 11, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Allina Health System — 3867 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Colleagues at Allina Health System

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 3867 clinicians in the practice; 12 are shown here.

Other providers in Edina