NPIMap

Individual provider Active NPI

Azzam Muftah, M.D.

  • Gastroenterology Physician
  • Brooksville, FL
National Provider Identifier
1417918988
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME68485 Issued in FL
Practice address
15205 Cortez Blvd
Brooksville, FL 34613-6072
Phone
(352) 597-7744
Fax
(352) 597-7797
NPI assigned
Mar 31, 2006
Last updated
Apr 8, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X ME68485 FL Primary

Addresses

Primary practice location

15205 Cortez Blvd
Brooksville, FL 34613-6072

Mailing address

5350 Spring Hill Dr
Spring Hill, FL 34606-4562
Phone (352) 277-5348

Other identifiers 8

IdentifierTypeStateIssuer
16328OtherFLWELLCARE
219941OtherFLAVMED
6013192OtherFLGHI
100014202OtherFLMEDICARE RAILROAD
250149000MedicaidFL
28978OtherFLBLUE CROSS BLUE SHIELD
5825117OtherFLAETNA
593570847OtherFLPROVIDER ID

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
I20100415000690 FL Practitioner - GastroenterologyPractitioner - Internal Medicine 5092842476 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Access Health Care Physicians LLCGroup PAC ID 4385821156, 176 clinicians

Practice addresses (Care Compare)

15205 Cortez Blvd
Brooksville, FL 34613-6072
Phone (352) 597-7744

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy660
Upper gastrointestinal (GI) endoscopy for acid reflux1067

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME68485FLMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa General Hospital Current Accepting new patients
Access Health Care Physicians LLC CurrentSince Jun 1, 2011 Accepting new patients
Phoenix American Medical LLC CurrentSince Jun 1, 2018 Accepting new patients
Springs Family Physicians LLC CurrentSince Jul 1, 2014 Accepting new patients
Access Health Care LLC Past Accepting new patients
Unity Healthcare LLC Past Accepting new patients
Access Healthcare LLC Past Accepting new patients

Locations

12900 Cortez Blvd
Ste 203
Brooksville, FL 34613
Phone (352) 597-7744

15205 Cortez Blvd
Brooksville, FL 34613
Phone (352) 597-7744

634 NE Jensen Beach Blvd
Jensen Beach, FL 34957
Phone (772) 334-6201

13220 Belcher Rd S
Unit 11
Largo, FL 33773
Phone (727) 533-2242

12148 Cortez Blvd
Spring Hill, FL 34613
Phone (352) 596-9095

5350 Spring Hill Dr
Spring Hill, FL 34606
Phone (352) 688-8116

5400 Pinehurst Dr
Spring Hill, FL 34606

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: amuftah296185@direct.tgh.org
  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/HCACBD
  • FHIR API: https://fhir4.healow.com/fhir/r4/JICADA

Organizations & group practices 9

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 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": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775606400000",
    "number": "1417918988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5350 SPRING HILL DR",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346064562",
            "telephone_number": "352-277-5348",
            "fax_number": "352-606-2857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15205 CORTEZ BLVD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346136072",
            "telephone_number": "352-597-7744",
            "fax_number": "352-597-7797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUFTAH",
        "first_name": "AZZAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME68485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "16328",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "219941",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "6013192",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "100014202",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250149000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "28978",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5825117",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER ID",
            "identifier": "593570847",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooksville, FL

Sources for this page

Verify at the official NPI Registry.