Individual provider Active NPI

Anwar Mumtaz, M.D.

  • Otolaryngology Physician
  • Baltimore, MD
National Provider Identifier
1639281736
Registry record updated May 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
D0024062 Issued in MD
Practice address
4000 Annapolis Rd
Suite # 102
Baltimore, MD 21227-3600
Phone
(410) 789-2800
NPI assigned
Aug 31, 2006
Last updated
May 1, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X D0024062 MD Primary

Addresses

Primary practice location

4000 Annapolis Rd
Suite # 102
Baltimore, MD 21227-3600

Mailing address

4000 Annapolis Rd
Suite # 102
Baltimore, MD 21227-3600
Phone (410) 789-2800

Other identifiers 4

IdentifierTypeStateIssuer
040000521OtherMDRAILROAD MEDICARE #
031911200MedicaidMD
6298AOtherMDCAREFIRST MARYLAND #
A316OtherMDBLUECHOICE #

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101207000872 MD Practitioner - Otolaryngology 0042407736 Practice locations: Baltimore, MD

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Georgetown University School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4000 Annapolis Rd
Suite 202
Baltimore, MD 21227-3600

4000 Annapolis Rd
Suite 202
Baltimore, MD 21227-3655
Phone (410) 789-2800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions41
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Interoperability endpoints

  • Direct secure messaging: amumtaz23026@direct.umm.edu

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209600000000",
    "number": "1639281736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 ANNAPOLIS RD",
            "address_2": "SUITE # 102",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212273600",
            "telephone_number": "410-789-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 ANNAPOLIS RD",
            "address_2": "SUITE # 102",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212273600",
            "telephone_number": "410-789-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUMTAZ",
        "first_name": "ANWAR",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MD",
            "license": "D0024062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE #",
            "identifier": "040000521",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "031911200",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST MARYLAND #",
            "identifier": "6298A",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECHOICE #",
            "identifier": "A316",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.