NPIMap

Individual provider Active NPI

Muhammad A Mumtaz, M.D.

  • Internal Medicine Physician
  • Brockton, MA
National Provider Identifier
1902841927
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
204600 Issued in MA
Practice address
GSMC - Hospitalists
235 North Pearl St
Brockton, MA 02301-4012
Phone
(508) 427-3000
NPI assigned
Jun 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 204600 MA Primary

Addresses

Primary practice location

GSMC - Hospitalists
235 North Pearl St
Brockton, MA 02301-4012

Mailing address

Bmchs Provider Enrollment
960 Massachusetts Ave FLR 2
Bos, MA 02118

Other identifiers 3

IdentifierTypeStateIssuer
35780OtherMAHEALTHY START
J23605OtherMABLUE CROSS BLUE SHIELD
0025950OtherNEIGHBORHOOD HEALTH PLAN

Other names 1

  • Muhammad Athar Mumtaz Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080726000010 MA Practitioner - HospitalistPractitioner - Internal Medicine 3779656509 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BMC Affiliated Physicians, Inc.Group PAC ID 9830133123, 543 clinicians

Practice addresses (Care Compare)

235 N Pearl St
Brockton, MA 02301-1794
Phone (508) 427-3000

Hospital & facility affiliations

  • Good Samaritan Medical Center Hospital, Brockton, MA, CCN 220111
  • Boston Medical Center Hospital, Boston, MA, CCN 220031
  • Signature Healthcare Brockton Hospital Hospital, Brockton, MA, CCN 220052
  • Brigham and Women'S Hospital Hospital, Boston, MA, CCN 220110

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
204600MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Physicians of Massachusetts Inc Internal Medicine CurrentSince Sep 1, 2016 Accepting new patients
Steward Medical Group, Inc CurrentSince Oct 1, 2011 Accepting new patients
Sound Physicians of Massachusetts II PC Internal Medicine CurrentSince Jun 17, 2017 Accepting new patients
Steward Medical Group, Inc CurrentSince Oct 1, 2011 Accepting new patients
Sound Physicians of Massachusetts, Inc Internal Medicine CurrentSince Sep 1, 2016 Accepting new patients
BMC Affiliated Physicians, Inc. Internal Medicine CurrentSince Apr 1, 2025 Accepting new patients

Locations

200 Groton Rd
Ayer, MA 01432
Phone (978) 784-9000

930 Commonwealth Ave
Boston, MA 02215
Phone (617) 262-2020

960 Massachusetts Ave
Ste 2
Boston, MA 02118

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

235 N Pearl St
Brockton, MA 02301
Phone (508) 427-2525

63 Main St
Brockton, MA 02301
Phone (508) 559-6696

115 Lincoln St
Framingham, MA 01702
Phone (508) 383-1000

575 Beech St
Holyoke, MA 01040
Phone (413) 534-2570

100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157

800 Washington St
Norwood, MA 02062
Phone (781) 278-6264

Interoperability endpoints

  • Direct secure messaging: mmumtaz257574@direct.bmc.masshiway.net

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.

Hospital & facility affiliations 11

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": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1902841927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BMCHS PROVIDER ENROLLMENT",
            "address_2": "960 MASSACHUSETTS AVE FLR 2",
            "city": "BOS",
            "state": "MA",
            "postal_code": "02118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GSMC - HOSPITALISTS",
            "address_2": "235 NORTH PEARL ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023014012",
            "telephone_number": "508-427-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUMTAZ",
        "first_name": "MUHAMMAD",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-17",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "204600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHY START",
            "identifier": "35780",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "J23605",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH PLAN",
            "identifier": "0025950",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MUHAMMAD",
            "last_name": "MUMTAZ",
            "middle_name": "ATHAR",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Brockton, MA

Sources for this page

Verify at the official NPI Registry.