Active NPI
Hamid Mumtaz, M.D.
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Wesley Chapel, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- ME138715
- Practice address
- 2700 Healing Way Ste 310
Wesley Chapel, FL 33543 - Phone
- (813) 779-1209
- Fax
- (813) 779-1216
- NPI assigned
- Aug 12, 2006
- Last updated
- Dec 6, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | ME138715 | FL | Primary |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | E-3401 | AR |
Addresses
Primary practice location
2700 Healing Way Ste 310
Wesley Chapel, FL 33543
Mailing address
2700 Healing Way Ste 310
Wesley Chapel, FL 33543-5453
Phone (813) 779-1209
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 154513001 | Medicaid | AR | |
| P01149504 | Other | AR | RAILROAD MCARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Hamid.mumtaz19@gmail.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Thoracic Surgery
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2590 Healing Way
Suite 210
Wesley Chapel, FL 33543-5497
Phone (813) 782-5801
2600 Bruce B Downs Blvd
Wesley Chapel, FL 33544-9207
Phone (813) 929-5436
2700 Healing Way
Wesley Chapel, FL 33543-5453
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Hospital Physician Group Inc | Vascular Surgery | Current | Accepting new patients |
| Monticello Ess LLC | Current | Accepting new patients | |
| Mabelvale Community Emergency Physicians | Past | Accepting new patients | |
| National Healthcare of Newport Inc | Past | Accepting new patients | |
| Jacksonville Emergency Medicine LLC | Past | Accepting new patients | |
| National Healthcare of Newport Inc | Past | Accepting new patients | |
| Buerkle Street Emergency Physicians LLC | Past | Accepting new patients |
Locations
778 Scogin Dr
Monticello, AR 71655
Phone (870) 367-2411
13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260
2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209
Networks
- FL PPO
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- hmumtaz73977@adventhealth.direct-ci.com
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba AdventHealth Medical Group
- Family Medicine Physician
- Tampa, FL
- NPI 1174955256
Vascular Surgery
-
- Emergency Medicine Physician
- Monticello, AR
- NPI 1184010753
-
- Emergency Medicine Physician
- Stuttgart, AR
- NPI 1427212950
-
- Emergency Medicine Physician
- Jacksonville, AR
- NPI 1093044166
-
- Emergency Medicine Physician
- Fayetteville, AR
- NPI 1063604007
-
dba Harris Hospital ER
- Emergency Medicine Physician
- Newport, AR
- NPI 1073720330
-
dba Harris Anesthesia Associates
- Anesthesiology Physician
- Newport, AR
- NPI 1255548517
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba AdventHealth Wesley Chapel
- General Acute Care Hospital
- Wesley Chapel, FL
- NPI 1073893020
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575590400000",
"number": "1023020500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 HEALING WAY STE 310",
"city": "WESLEY CHAPEL",
"state": "FL",
"postal_code": "335435453",
"telephone_number": "813-779-1209",
"fax_number": "813-779-1216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 HEALING WAY STE 310",
"city": "WESLEY CHAPEL",
"state": "FL",
"postal_code": "33543",
"telephone_number": "813-779-1209",
"fax_number": "813-779-1216"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUMTAZ",
"first_name": "HAMID",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-12",
"last_updated": "2019-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "FL",
"license": "ME138715",
"primary": true
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "AR",
"license": "E-3401",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "154513001",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MCARE",
"identifier": "P01149504",
"state": "AR"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Hamid.mumtaz19@gmail.com",
"affiliation": "N",
"address_1": "500 S University Ave Ste 702",
"city": "Little Rock",
"state": "AR",
"country_code": "US",
"postal_code": "722055309",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Wesley Chapel, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.