Maryam Mumtaz, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9119335 Issued in FL

Practice address

7050 Gall Blvd
Zephyrhills, FL 33541-1347

Phone

(813) 779-1209

Fax

(813) 779-1216

NPI assigned

Oct 21, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Florida Hospital Zephyrhills Inc 14 clinicians

Florida Hospital Physician Group Inc 953 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventhealth Zephyrhills Hospital, Zephyrhills, FL, CCN 100046
• Adventhealth Wesley Chapel Hospital, Wesley Chapel, FL, CCN 100319
• Adventhealth Tampa Hospital, Tampa, FL, CCN 100173
• Adventhealth Dade City Hospital, Dade City, FL, CCN 100211

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mmumtaz4618929@adventhealth.direct-ci.com

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.

• Florida Hospital Zephyrhills Inc

  • Multi-Specialty Clinic/Center
  • Zephyrhills, FL
  • NPI 1639325046

  FL

  Medicare reassignment Care Compare group
• Florida Hospital Zephyrhills Inc

  • General Acute Care Hospital
  • Zephyrhills, FL
  • NPI 1346354677
  Care Compare group NPD
• Florida Hospital Physician Group Inc

  • Family Medicine Physician
  • Tampa, FL
  • NPI 1174955256
  Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Florida Hospital Dade City Inc

  • General Acute Care Hospital
  • Dade City, FL
  • NPI 1215444054

  Hospital

  Care Compare affiliation
• Florida Hospital Zephyrhills Inc

  • General Acute Care Hospital
  • Zephyrhills, FL
  • NPI 1346354677

  Hospital

  Care Compare affiliation
• Pasco-Pinellas Hillsborough Community Health System Inc

  • General Acute Care Hospital
  • Wesley Chapel, FL
  • NPI 1073893020

  Hospital

  Care Compare affiliation
• University Community Hospital, Inc

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1053321919

  Hospital

  Care Compare affiliation
• University Community Hospital, Inc

  • Clinical Medical Laboratory
  • Tampa, FL
  • NPI 1134766694

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1729468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746144000000",
    "number": "1962223149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7050 GALL BLVD",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335411347",
            "telephone_number": "813-779-1209",
            "fax_number": "813-779-1216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7050 GALL BLVD",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335411347",
            "telephone_number": "813-779-1209",
            "fax_number": "813-779-1216"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3650 Colonial Ct",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339136636",
            "country_code": "US",
            "telephone_number": "239-274-6070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUMTAZ",
        "first_name": "MARYAM",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-21",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9119335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walter Enrique Moscoso, M.D.
• Carrie Moseley, MD
• Lyndsey Taylor Mount, DPT
• Juan Felipe Moya Polania
• Nicole Mula, D.O.
• Nicolas D Munera-Mason, PA-C
• Craig E Munger, M.D.
• Musculoskeletal Institute Chartered
• Musculoskeletal Institute Chartered
• George S Muthalakuzhy, MD

• All providers in Zephyrhills, FL
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2025; 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.

Verify at the official NPI Registry.