Active NPI
Ali Mumtaz, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Pasadena, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- LL9771
- Practice address
- 8556 Fort Smallwood Rd
Pasadena, MD 21122-2634 - Phone
- (410) 255-1190
- Fax
- (410) 255-1484
- NPI assigned
- Jun 27, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | LL9771 | MD | Primary |
Addresses
Primary practice location
8556 Fort Smallwood Rd
Pasadena, MD 21122-2634
Mailing address
4660 Wilkens Ave Ste 202
Baltimore, MD 21229-4846
Phone (410) 242-7066
Other practice location 1
4660 Wilkens Ave Ste 202
Baltimore, MD 21229-4846
Phone (410) 242-7066
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191107001077 | MD | Practitioner - Podiatry | 5193011005 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Giardina and Glubo DPM PA
Practice addresses (Care Compare)
4660 Wilkens Ave
Suite 202
Baltimore, MD 21229-4846
Phone (410) 242-7066
Hospital & facility affiliations
- Saint Agnes Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.2 of 100
- Quality
- 58.58
- Promoting interoperability
- 98
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 73 |
| Removal of skin lesions | 20 |
| Removal of nail tissue | 819 |
| Removal or shaving of skin growth | 412 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LL9771 | MD | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Podiatry Associates, P.a. | Foot & Ankle Surgery | Current | Accepting new patients |
| Giardina & Glubo DPM PA | Current | Accepting new patients | |
| Giardina & Glubo DPM PA | Foot & Ankle Surgery | Current | Accepting new patients |
Locations
540 E Belvedere Ave
Ste 204
Baltimore, MD 21212
Phone (410) 433-2500
4660 Wilkens Ave
Ste 202
Baltimore, MD 21229
Phone (410) 242-7066
1 N Main St
Ste 1
Bel Air, MD 21014
Phone (410) 927-3510
5500 Knoll North Dr
Ste 440
Columbia, MD 21045
Phone (410) 730-0970
110 Old Padonia Rd
Ste 301
Hunt Valley, MD 21030
Phone (410) 560-5800
8556 Fort Smallwood Rd
#D
Pasadena, MD 21122
Phone (410) 255-1190
8556 Fort Smallwood Rd
Pasadena, MD 21122
Phone (410) 255-1190
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.
-
- Primary Podiatric Medicine Podiatrist
- Bel Air, MD
- NPI 1487879938
Foot & Ankle Surgery, MD
-
- Foot & Ankle Surgery Podiatrist
- Baltimore, MD
- NPI 1700310976
Foot & Ankle Surgery
Hospital & facility affiliations 1
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": "1466985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761004800000",
"number": "1508217993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4660 WILKENS AVE STE 202",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212294846",
"telephone_number": "410-242-7066",
"fax_number": "410-242-4126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8556 FORT SMALLWOOD RD",
"city": "PASADENA",
"state": "MD",
"postal_code": "211222634",
"telephone_number": "410-255-1190",
"fax_number": "410-255-1484"
}
],
"practiceLocations": [
{
"address_1": "4660 Wilkens Ave Ste 202",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212294846",
"country_code": "US",
"telephone_number": "410-242-7066",
"fax_number": "410-242-4126",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MUMTAZ",
"first_name": "ALI",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-06-27",
"last_updated": "2025-10-21",
"certification_date": "2025-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "MD",
"license": "LL9771",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pasadena, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2025; 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.