Active NPI
Amf Gastroenterogy, Inc
Doing business as Gastroenterology practice
- Gastroenterology Physician
- Phoenix, AZ
National Provider Identifier
1528305281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 28980
- 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, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Rushda Mumtaz, M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 550899 | Medicaid | AZ |
Other names 1
- Gastroenterology practice
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider DirectoryInteroperability endpoints
- 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.