Active NPI
Muhammad Umair Ijaz, M.D.
- Rheumatology Physician
- Hattiesburg, MS
National Provider Identifier
1629490065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 24235
- Practice address
- 104 Millsaps Dr
Hattiesburg, MS 39402-1328 - Phone
- (601) 288-7500
- Fax
- (601) 268-5179
- NPI assigned
- Jan 18, 2014
- Last updated
- Jul 9, 2020
- 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 |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | 24235 | MS | Primary |
Addresses
Primary practice location
104 Millsaps Dr
Hattiesburg, MS 39402-1328
Mailing address
415 S 28TH Ave
Hattiesburg, MS 39401-7246
Phone (601) 288-7500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07525065 | Medicaid | MS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mijaz52482@directpatientrecord.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Rheumatology
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
415 S 28TH Ave
Hattiesburg Clinic Department of Nephrology
Hattiesburg, MS 39401-7246
Phone (601) 264-6000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24235 | MS | MD | Rheumatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hattiesburg Clinic PA | Current | Accepting new patients | |
| Hattiesburg Clinic, PA | Current | Accepting new patients | |
| Hattiesburg Clinic, PA | Past | Accepting new patients |
Locations
104 Millsaps Dr
Hattiesburg, MS 39402
Phone (601) 268-5170
415 S 28th Ave
Hattiesburg, MS 39401
Phone (601) 261-3606
Interoperability endpoints
- mijaz52482@directpatientrecord.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Hattiesburg, MS
- NPI 1740213446
-
dba Flowood Primary Care
- Primary Care Clinic/Center
- Flowood, MS
- NPI 1912600354
-
dba Laurel Dialysis Unit
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Laurel, MS
- NPI 1245263540
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Highland Community Hospital
- General Acute Care Hospital
- Picayune, MS
- NPI 1053350462
-
- General Acute Care Hospital
- Hattiesburg, MS
- NPI 1225041809
-
- General Acute Care Hospital
- Brookhaven, MS
- NPI 1972503464
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594252800000",
"number": "1629490065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 S 28TH AVE",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394017246",
"telephone_number": "601-288-7500",
"fax_number": "601-579-5240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 MILLSAPS DR",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394021328",
"telephone_number": "601-288-7500",
"fax_number": "601-268-5179"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IJAZ",
"first_name": "MUHAMMAD",
"middle_name": "UMAIR",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-01-18",
"last_updated": "2020-07-09",
"certification_date": "2020-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "MS",
"license": "24235",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "07525065",
"state": "MS"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mijaz52482@directpatientrecord.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "104 Millsaps Dr",
"city": "Hattiesburg",
"state": "MS",
"country_code": "US",
"postal_code": "394021328",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Hattiesburg, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2020; 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.