Individual provider Active NPI

Muhammad Ali Mumtaz, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Miami, FL
National Provider Identifier
1275625840
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
ME156588 Issued in FL
Practice address
1611 NW 12TH Ave
Miami, FL 33136-1005
Phone
(305) 243-4000
NPI assigned
Sep 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X ME156588 FL Primary

Addresses

Primary practice location

1611 NW 12TH Ave
Miami, FL 33136-1005

Mailing address

1611 NW 12TH Ave
Miami, FL 33136-1005
Phone (305) 243-4000

Other identifiers 3

IdentifierTypeStateIssuer
2182490MedicaidOH
1275625840MedicaidVA
5912709MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, 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
I20140307000686 TX Practitioner - Cardiac SurgeryPractitioner - Thoracic Surgery 7810993169 Reassigns benefits to 1 organization
I20220512000091 FL Practitioner - Thoracic SurgeryPractitioner - Cardiac Surgery 7810993169 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME156588FLMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Nemours Foundation Current Accepting new patients
Baptist Specialty Physicians Inc CurrentSince May 8, 2022 Accepting new patients
Baptist Specialty Physicians Inc Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Jun 1, 2022 Accepting new patients
University of Miami CurrentSince Feb 27, 2026 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Sep 25, 2023 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Sep 25, 2023 Accepting new patients
University of Miami CurrentSince Feb 27, 2026 Accepting new patients
The Nemours Foundation CurrentSince Dec 3, 2023 Accepting new patients
Baylor College of Medicine CurrentSince Nov 1, 2013 Accepting new patients
The Nemours Foundation CurrentSince Dec 3, 2023 Accepting new patients
Children'S Surgical Specialty Group, Inc Past Accepting new patients

Locations

841 Prudential Dr
Ste 280
Jacksonville, FL 32207
Phone (904) 202-8290

836 Prudential Dr
Ste 802
Jacksonville, FL 32207
Phone (904) 202-8290

807 Childrens Way
Jacksonville, FL 32207
Phone (904) 390-3600

10140 Centurion Pkwy N
Jacksonville, FL 32256
Phone (904) 697-4100

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

6535 Nemours Pkwy
Orlando, FL 32827
Phone (407) 567-4000

2418 E Plaza Dr
Tallahassee, FL 32308
Phone (850) 629-4861

2 Greenway Plz
Ste 900
Houston, TX 77046
Phone (713) 798-1835

333 N Santa Rosa
San Antonio, TX 78207
Phone (210) 704-2190

Organizations & group practices 12

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773014400000",
    "number": "1275625840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 NW 12TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361005",
            "telephone_number": "305-243-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 NW 12TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361005",
            "telephone_number": "305-243-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUMTAZ",
        "first_name": "MUHAMMAD",
        "middle_name": "ALI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "FL",
            "license": "ME156588",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2182490",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1275625840",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5912709",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.