Active NPI
Romila Mushtaq, MD
- Neurology Physician
- Yuma, AZ
National Provider Identifier
1063464709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 48711
- Practice address
- 2400 S Avenue a
Yuma, AZ 85364-7127 - Phone
- (928) 726-6335
- Fax
- (928) 726-6338
- NPI assigned
- May 17, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 48711 | WI | Primary |
Addresses
Primary practice location
2400 S Avenue a
Yuma, AZ 85364-7127
Mailing address
7600 N 16TH St
Suite 150
Phoenix, AZ 85020-4431
Phone (602) 395-0718
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34810700 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48711 | WI | MD | Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301356800000",
"number": "1063464709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7600 N 16TH ST",
"address_2": "SUITE 150",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850204431",
"telephone_number": "602-395-0718",
"fax_number": "602-277-8146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 S AVENUE A",
"city": "YUMA",
"state": "AZ",
"postal_code": "853647127",
"telephone_number": "928-726-6335",
"fax_number": "928-726-6338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUSHTAQ",
"first_name": "ROMILA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-17",
"last_updated": "2011-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "WI",
"license": "48711",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "34810700",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Yuma, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.