NPIMap

Individual provider Active NPI

Syed T Mumtaz, MD.PA

  • Specialist
  • Kissimmee, FL
National Provider Identifier
1053346148
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME70936 Issued in FL
Practice address
724 W Vine St
Kissimmee, FL 34741-4161
Phone
(407) 944-4450
Fax
(407) 944-1858
NPI assigned
Jul 11, 2006
Last updated
Sep 1, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME70936 FL Primary

Addresses

Primary practice location

724 W Vine St
Kissimmee, FL 34741-4161

Mailing address

724 W Vine St
Kissimmee, FL 34741-4161
Phone (407) 944-4450

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051222000184 FL Practitioner - Internal Medicine 4486689023 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians
Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians

Practice addresses (Care Compare)

1200 Lexington Green LN
Sanford, FL 32771-1013

724 W Vine St
Kissimmee, FL 34741-4161
Phone (407) 944-4450

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Syed Tariq Mumtaz M D P a Specialist CurrentSince May 28, 2005 Accepting new patients
Syed Tariq Mumtaz MD PA Past Accepting new patients
Syed T Mumtaz MD PA Specialist Past Accepting new patients
Syed Tariq Mumtaz MD PA Past Accepting new patients
Syed Tariq Mumtaz, MD, PA Past Accepting new patients

Locations

720 W Oak St
Ste 308
Kissimmee, FL 34741
Phone (407) 343-8101

724 W Vine St
Kissimmee, FL 34741
Phone (407) 944-4450

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AHHDBA/Endpoint/AHHDBA

Organizations & group practices 5

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 9

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1053346148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 W VINE ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414161",
            "telephone_number": "407-944-4450",
            "fax_number": "407-944-1858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 W VINE ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414161",
            "telephone_number": "407-944-4450",
            "fax_number": "407-944-1858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUMTAZ",
        "first_name": "SYED",
        "middle_name": "T",
        "credential": "MD.PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME70936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.