Active NPI
Muhammad Adil Mumtaz, MBBS
- Internal Medicine Physician
- Cheyenne, WY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 12124A
- Practice address
- 214 E 23Rd St
Cheyenne, WY 82001-3748 - Phone
- (307) 634-2273
- NPI assigned
- Aug 28, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 7862 | NE | |
| Hospitalist Physician | 208M00000X | 12124A | WY | |
| Internal Medicine Physician | 207R00000X | 12124A | WY | Primary |
Addresses
Primary practice location
214 E 23Rd St
Cheyenne, WY 82001-3748
Mailing address
601 N 30TH St
Cu Department of Internal Medicine
Omaha, NE 68131-2128
Phone (402) 717-0800
Other practice location 1
601 N 30th St
CU department of internal medicine
Omaha, NE 68131-2128
Phone (402) 717-0800
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mmumtaz36908@direct.crmcwy.org | Health Information Exchange (HIE) | Memorial Hospital of Laramie County |
| Direct Messaging Address | mmumtaz36908@direct.crmcwy.org | Direct | Memorial Hospital of Laramie County |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY, MA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1801 N Loop W
Suite 30
Houston, TX 77008-1445
Phone (713) 802-9781
18951 N Memorial Dr
Humble, TX 77338-4217
Phone (281) 540-8409
214 E 23Rd St
Cheyenne, WY 82001-3748
Phone (307) 324-2221
915 Gessner Rd
Suite 100
Houston, TX 77024-2537
Phone (713) 242-2222
9250 Pinecroft Dr
Shenandoah, TX 77380-3218
Phone (713) 897-2307
Hospital & facility affiliations
- Memorial Hermann Northeast Hospital
- Cheyenne Regional Medical Center
- Memorial Hermann - Texas Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.78 of 100
- Quality
- 80.38
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.7 of 100
- Quality
- 64.97
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 69.88
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.11 of 100
- Quality
- 82.45
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7862 | NE | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Hospitalist Group LLC | Hospitalist | Current | Accepting new patients |
| Marlborough Hospitalist Group, PLLC | Hospitalist | Current | Accepting new patients |
| Memorial Hermann Medical Group | Internal Medicine | Current | Accepting new patients |
| Hni Medical Services | Internal Medicine | Past | Accepting new patients |
| Rural Family Physicians | Past | Accepting new patients | |
| Memorial Hermann Health System | Past | Accepting new patients |
Locations
157 Union St
Marlborough, MA 01752
Phone (508) 481-5000
1505 E Winding Way Dr
Ste 200
Friendswood, TX 77546
Phone (713) 366-7800
909 Frostwood Dr
Ste 1405
Houston, TX 77024
Phone (713) 338-5519
1801 North Loop W
Ste 30
Houston, TX 77008
Phone (713) 802-9781
915 Gessner Rd
Ste 100
Houston, TX 77024
Phone (713) 242-2222
3203 Broadway St
Pearland, TX 77581
Phone (281) 485-8876
9250 Pinecroft Dr
Ste N2101
Shenandoah, TX 77380
Phone (713) 897-2307
214 E 23rd St
Cheyenne, WY 82001
Phone (307) 324-2221
2221 Elm St
Rawlins, WY 82301
Phone (307) 324-2221
Interoperability endpoints
- mmumtaz36908@direct.crmcwy.org
Organizations & group practices 6
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.
-
- Hospitalist Physician
- Cheyenne, WY
- NPI 1356985600
-
- Family Medicine Physician
- Fulshear, TX
- NPI 1003985102
Internal Medicine
-
- Hospitalist Physician
- Marlborough, MA
- NPI 1316639321
-
- General Acute Care Hospital
- Humble, TX
- NPI 1295843787
-
- Critical Access Hospital Clinic/Center
- Denver, CO
- NPI 1881261774
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cheyenne, WY
- NPI 1285621839
-
- General Acute Care Hospital
- Humble, TX
- NPI 1295843787
-
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Houston, TX
- NPI 1437189115
Hospital
-
- General Acute Care Hospital
- Houston, TX
- NPI 1982666111
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667865600000",
"number": "1750837910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 N 30TH ST",
"address_2": "CU DEPARTMENT OF INTERNAL MEDICINE",
"city": "OMAHA",
"state": "NE",
"postal_code": "681312128",
"telephone_number": "402-717-0800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 E 23RD ST",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820013748",
"telephone_number": "307-634-2273"
}
],
"practiceLocations": [
{
"address_1": "601 N 30th St",
"address_2": "CU department of internal medicine",
"address_purpose": "LOCATION",
"city": "Omaha",
"state": "NE",
"postal_code": "681312128",
"country_code": "US",
"telephone_number": "402-717-0800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MUMTAZ",
"first_name": "MUHAMMAD ADIL",
"credential": "MBBS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-08-28",
"last_updated": "2022-11-08",
"certification_date": "2022-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NE",
"license": "7862",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "WY",
"license": "12124A",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WY",
"license": "12124A",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mmumtaz36908@direct.crmcwy.org",
"affiliation": "Y",
"endpointDescription": "CRMC Direct Address",
"affiliationName": "Memorial Hospital of Laramie County",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "214 E 23rd St",
"city": "Cheyenne",
"state": "WY",
"country_code": "US",
"postal_code": "820013748",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mmumtaz36908@direct.crmcwy.org",
"affiliation": "Y",
"endpointDescription": "CRMC Direct Address",
"affiliationName": "Memorial Hospital of Laramie County",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "214 E 23rd St",
"city": "Cheyenne",
"state": "WY",
"country_code": "US",
"postal_code": "820013748",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Cheyenne, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2022; 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.