Individual provider Active NPI

Muzammil Mushtaq, M.D.

  • Interventional Cardiology Physician
  • Fort Worth, TX
National Provider Identifier
1093977639
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
N9918 Issued in TX
Practice address
1500 S Main St
Fort Worth, TX 76104-4917
Phone
(817) 702-1100
NPI assigned
Jun 25, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X N9918 TX Primary

Addresses

Primary practice location

1500 S Main St
Fort Worth, TX 76104-4917

Mailing address

200 W Magnolia Ave Ste 201
Ft Worth, TX 76104-7657
Phone (817) 702-1100

Other identifiers 1

IdentifierTypeStateIssuer
8SE087OtherTXBCBS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address muzammil.mushtaq@lutheranhealthnetwork.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, TX, NM, MO4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20180131000782 MA Practitioner - Internal Medicine 7214073055 Reassigns benefits to 2 organizations
I20230220000248 TX Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 7214073055 Reassigns benefits to 5 organizations
I20240822004817 NM Practitioner - Interventional Cardiology 7214073055 Reassigns benefits to 1 organization
I20241114002909 MO Practitioner - Interventional Cardiology 7214073055 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Interventional Cardiology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Fort Worth Heart, P.a.Group PAC ID 4082696562, 9 clinicians
Pecos Valley of New Mexico LLCGroup PAC ID 2466359781, 33 clinicians
Heartplace PLLCGroup PAC ID 2769386473, shared by 4 NPIs, 90 clinicians

Practice addresses (Care Compare)

1900 Mistletoe Blvd
Suite 100
Fort Worth, TX 76104-4048
Phone (817) 338-1300

2402 W Pierce St
Carlsbad, NM 88220-3566

2420 W Pierce St
Carlsbad, NM 88220-3518

2430 W Pierce St
Carlsbad, NM 88220-3553
Phone (575) 885-0995

902 W Randol Mill Rd
Suite 200
Arlington, TX 76012-2581
Phone (817) 461-3003

Hospital & facility affiliations

  • Texas Health Harris Methodist Fort Worth Hospital, Fort Worth, TX, CCN 450135
  • Texas Health Harris Methodist Hospital Southwest F Hospital, Fort Worth, TX, CCN 450779
  • Carlsbad Medical Center Hospital, Carlsbad, NM, CCN 320063

Merit-based Incentive Payment System (MIPS)

Final score
89.53 of 100Reported as apm
Quality
79.07
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
82.13 of 100Reported as group
Quality
66.85
Promoting interoperability
99
Improvement activities
40
Cost
74.4

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting25

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N9918TXMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SSM Medical Group Inc. CurrentSince Nov 7, 2024 Accepting new patients
Acclaim Physician Group, Inc Internal Medicine CurrentSince Feb 9, 2024 Accepting new patients
SSM Medical Group, Inc. Internal Medicine CurrentSince Nov 7, 2024 Accepting new patients
Sound Physicians of Massachusetts II PC Internal Medicine CurrentSince Feb 6, 2018 Accepting new patients
Decatur Physician Services PLLC CurrentSince Jan 7, 2024 Accepting new patients
Sound Physicians of Massachusetts Inc Family Medicine CurrentSince Dec 10, 2017 Accepting new patients
Sound Physicians of Massachusetts, Inc Family Medicine CurrentSince Dec 10, 2017 Accepting new patients
Decatur Hospital Authority Current Accepting new patients
Cardiac Cath Lab of Fort Worth LP CurrentSince Jul 18, 2025 Accepting new patients
Heartplace, PLLC CurrentSince May 1, 2025 Accepting new patients
Fort Worth Heart, P.a. CurrentSince Jan 1, 2025 Accepting new patients
Heartplace, PLLC Interventional Cardiology CurrentSince May 1, 2025 Accepting new patients
Pecos Valley of New Mexico, LLC CurrentSince Jul 25, 2024 Accepting new patients
Privia Medical Group Arizona, LLC Family Medicine Past Accepting new patients
Cardiovascular Care Providers, Inc. Past Accepting new patients
Heartplace, PLLC Interventional Cardiology Past Accepting new patients

Locations

115 Lincoln St
Framingham, MA 01702
Phone (508) 383-1000

575 Beech St
Holyoke, MA 01040
Phone (413) 534-2570

1011 Bowles Ave
Ste 300
Fenton, MO 63026
Phone (636) 496-5000

1035 Bellevue Ave
Ste 500
Saint Louis, MO 63117
Phone (314) 647-1115

2420 W Pierce St
Ste 200
Carlsbad, NM 88220
Phone (505) 885-0600

341 Cool Springs Blvd
Ste 305
Franklin, TN 37067
Phone (972) 391-1915

902 W Randol Mill Rd
Ste 200
Arlington, TX 76012
Phone (817) 461-3003

400 W Arbrook Blvd
Ste 200
Arlington, TX 76014
Phone (817) 468-2053

400 W Arbrook Blvd
Ste 120
Arlington, TX 76014
Phone (817) 468-8400

133 N FM 730
Unit 105
Boyd, TX 76023
Phone (940) 433-2151

1713 S FM 51
Ste 202
Decatur, TX 76234
Phone (940) 626-0108

1350 S Main St
Fl 1
Fort Worth, TX 76104
Phone (817) 702-3701

1900 Mistletoe Blvd
Ft Worth, TX 76104

1900 Mistletoe Blvd
Ste 100
Ft Worth, TX 76104
Phone 8173381300236

6949 Bryant Irvin Rd
Ste 110
Ft Worth, TX 76132
Phone (817) 332-1818

6949 Bryant Irvin Rd
Ft Worth, TX 76132
Phone (817) 332-1818

200 W Magnolia Ave
Ste 201
Ft Worth, TX 76104
Phone (817) 702-2450

1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431

399 W Campbell Rd
Ste 300
Richardson, TX 75080
Phone (972) 665-9100

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14273/brand/6/csg/1/fhir/r4
  • Direct secure messaging: muzammil.mushtaq@ushv.eclinicaldirectplus.com
  • Direct secure messaging: muzammil.mushtaq@lutheranhealthnetwork.cernerdirect.com
  • Direct secure messaging: muzammil.mushtaq.1@18287.direct.athenahealth.com
  • Direct secure messaging: muzammilmushtaq@wise.allscriptsdirect.net

Organizations & group practices 16

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 16

Hospital & facility affiliations 4

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": "1214352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1093977639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W MAGNOLIA AVE STE 201",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761047657",
            "telephone_number": "817-702-1100",
            "fax_number": "817-702-2140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S MAIN ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044917",
            "telephone_number": "817-702-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSHTAQ",
        "first_name": "MUZAMMIL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-25",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TX",
            "license": "N9918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8SE087",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "muzammil.mushtaq@lutheranhealthnetwork.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "7916 W Jefferson Blvd",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "468044140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.