Active NPI
Khalid Mumtaz, MD
- Transplant Hepatology Physician
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Transplant Hepatology Physician
- License
- 80.000020
- Practice address
- 410 W 10TH Ave
Columbus, OH 43210-1240 - Phone
- (614) 293-6255
- Fax
- (614) 293-8518
- NPI assigned
- Aug 21, 2014
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Transplant Hepatology Physician | 207RT0003X | 80.000020 | OH | Primary |
| Gastroenterology Physician | 207RG0100X | 80.000020 | OH |
Addresses
Primary practice location
410 W 10TH Ave
Columbus, OH 43210-1240
Mailing address
700 Ackerman Rd Ste 2120
Columbus, OH 43202-1559
Phone (614) 293-6255
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kmumtaz253683@direct.osumc.edu | ||
| Direct Messaging Address | kmumtaz253683@direct.osumc.edu | Direct | |
| Direct Messaging Address | kmumtaz253683@direct.osumc.edu | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1800 Zollinger Rd
Columbus, OH 43221-2849
Phone (614) 293-2920
3900 Stoneridge LN
Dublin, OH 43017-2288
Phone (614) 366-5001
410 W 10TH Ave
Columbus, OH 43210-1240
Phone (614) 293-8000
450 W 10TH Ave
Columbus, OH 43210-1240
Phone (614) 293-8000
452 W 10TH Ave
Columbus, OH 43210-1240
Phone (614) 293-8000
460 W 10TH Ave
Columbus, OH 43210-1240
Phone (800) 293-5066
6700 University Blvd
Dublin, OH 43016-3508
Phone (614) 814-7777
Hospital & facility affiliations
- Ohio State University State Health System
- Blanchard Valley Hospital
- James Cancer Hospital & Solove Research Institute
- Mercy Health St Ritas Medical Center
- Genesis Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 31 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 55 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 80.000020 | OH | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osu Internal Medicine, LLC | Gastroenterology | Current | Accepting new patients |
| Ohio State University Hospitals | Past | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
395 W 12th Ave
Ste 200
Columbus, OH 43210
410 W 10th Ave
Columbus, OH 43210
Phone (614) 293-5905
700 Ackerman Rd
Ste 2120
Columbus, OH 43202
700 Ackerman Rd
Ste 570
Columbus, OH 43202
Phone (614) 293-2046
181 Taylor Ave
Columbus, OH 43203
Phone (614) 257-2358
300 W 10th Ave
Fl 10
Columbus, OH 43210
3900 Stoneridge Ln
Dublin, OH 43017
Phone (614) 366-5001
1800 Zollinger Rd
Fl 3
Upper Arlington, OH 43221
Phone (614) 293-2130
Interoperability endpoints
- kmumtaz253683@direct.osumc.edu
- khalid.mumtaz.1@19222.direct.athenahealth.com
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
- General Acute Care Hospital
- Columbus, OH
- NPI 1447359997
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Special Hospital
- Columbus, OH
- NPI 1124127683
-
- General Acute Care Hospital
- Findlay, OH
- NPI 1710920327
-
- General Acute Care Hospital
- Zanesville, OH
- NPI 1598868655
-
- Psychiatric Hospital Unit
- Lima, OH
- NPI 1447276936
-
- General Acute Care Hospital
- Lima, OH
- NPI 1811939887
-
- Rehabilitation Hospital Unit
- Columbus, OH
- NPI 1184723637
-
- General Acute Care Hospital
- Columbus, OH
- NPI 1447359997
-
- Psychiatric Hospital Unit
- Columbus, OH
- NPI 1790876183
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782172800000",
"number": "1265831689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 ACKERMAN RD STE 2120",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432021559",
"telephone_number": "614-293-6255",
"fax_number": "614-293-8518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 W 10TH AVE",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432101240",
"telephone_number": "614-293-6255",
"fax_number": "614-293-8518"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUMTAZ",
"first_name": "KHALID",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-08-21",
"last_updated": "2026-06-23",
"certification_date": "2026-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "207RT0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Transplant Hepatology",
"state": "OH",
"license": "80.000020",
"primary": true
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "OH",
"license": "80.000020",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kmumtaz253683@direct.osumc.edu",
"affiliation": "N",
"address_1": "410 W 10th Ave",
"city": "Columbus",
"state": "OH",
"country_code": "US",
"postal_code": "432101240",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kmumtaz253683@direct.osumc.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "300 W 10th Ave Fl 10",
"city": "Columbus",
"state": "OH",
"country_code": "US",
"postal_code": "432101280",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kmumtaz253683@direct.osumc.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "410 W 10th Ave",
"city": "Columbus",
"state": "OH",
"country_code": "US",
"postal_code": "432101240",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; 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.