Individual provider Active NPI

Ali Mumtaz, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Pasadena, MD
National Provider Identifier
1508217993
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
LL9771 Issued in MD
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

Updated by the provider on Oct 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 PAGroup PAC ID 4880671163, 6 clinicians

Practice addresses (Care Compare)

4660 Wilkens Ave
Suite 202
Baltimore, MD 21229-4846
Phone (410) 242-7066

Hospital & facility affiliations

  • Saint Agnes Hospital Hospital, Baltimore, MD, CCN 210011

Merit-based Incentive Payment System (MIPS)

Final score
85.2 of 100Reported as individual
Quality
58.58
Promoting interoperability
98
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue73
Removal of skin lesions20
Removal of nail tissue819
Removal or shaving of skin growth412

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LL9771MDMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Podiatry Associates, P.a. Foot & Ankle Surgery CurrentSince Oct 1, 2019 Accepting new patients
Giardina & Glubo DPM PA CurrentSince Mar 1, 2025 Accepting new patients
Giardina & Glubo DPM PA Foot & Ankle Surgery CurrentSince Mar 1, 2025 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.

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

Verify at the official NPI Registry.