Individual provider Active NPI

Hamid Mumtaz, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Wesley Chapel, FL
National Provider Identifier
1023020500
Registry record updated Dec 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
ME138715 Issued in FL
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, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
154513001MedicaidAR
P01149504OtherARRAILROAD MCARE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Hamid.mumtaz19@gmail.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040811000509 AR Practitioner - Thoracic SurgeryPractitioner - General SurgeryPractitioner - Colorectal Surgery (Proctology)Practitioner - Peripheral Vascular DiseasePractitioner - Vascular SurgeryPractitioner - Cardiac SurgeryPractitioner - Surgical Oncology 0345212254 Reassigns benefits to 1 organization
I20191206000158 FL Practitioner - Thoracic Surgery 0345212254 Reassigns benefits to 1 organization

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
Florida Hospital Physician Group IncGroup PAC ID 2365679057, 953 clinicians

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

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Physician Group Inc Vascular Surgery CurrentSince Dec 18, 2019 Accepting new patients
Monticello Ess LLC CurrentSince Oct 13, 2016 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.