Organization Active NPI

Amf Gastroenterogy, Inc

Doing business as Gastroenterology practice

  • Gastroenterology Physician
  • Phoenix, AZ
National Provider Identifier
1528305281
Registry record updated Aug 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
28980 Issued in AZ
Legal business name
AMF GASTROENTEROGY, INC
Doing business as
Gastroenterology practice
Practice address
1310 N 24TH St Ste 100
Phoenix, AZ 85008
Phone
(602) 254-6101
Fax
(602) 279-1720
NPI assigned
Jan 14, 2013
Last updated
Aug 21, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2018

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

Authorized official

Name
Dr. Rushda Mumtaz, M.D.NPI 1134101892
Title
President
Phone
(602) 309-7716

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 28980 AZ Primary

Addresses

Primary practice location

1310 N 24TH St Ste 100
Phoenix, AZ 85008

Mailing address

2902 E Gary Way
Phoenix, AZ 85042-7107
Phone (602) 309-7716

Other identifiers 1

IdentifierTypeStateIssuer
550899MedicaidAZ

Other names 1

  • Gastroenterology practice Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130507000719 AZ Part B Supplier - Clinic/Group Practice 5294972410 Receives reassigned benefits from 1 practitioner
Practice locations: Phoenix, AZ

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/6356/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1358121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534809600000",
    "number": "1528305281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2902 E GARY WAY",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850427107",
            "telephone_number": "602-309-7716",
            "fax_number": "602-279-1720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 N 24TH ST STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85008",
            "telephone_number": "602-254-6101",
            "fax_number": "602-279-1720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMF GASTROENTEROGY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-14",
        "last_updated": "2018-08-21",
        "status": "A",
        "authorized_official_last_name": "MUMTAZ",
        "authorized_official_first_name": "RUSHDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-309-7716",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AZ",
            "license": "28980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "550899",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gastroenterology practice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gastroenterology practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.