Mind -Body Synergy Medical Services LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

MIND -BODY SYNERGY MEDICAL SERVICES LLC

Practice address

7153 Rivers Edge Road
Columbia, MD 21044

Phone

(443) 545-1752

Fax

(443) 545-1752

NPI assigned

Dec 30, 2025

Organization subpart

No

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

Authorized official

Name

Mutahira Butt

Title

Manager

Phone

(443) 545-1752

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Qurat Ul Ain Shahbaz Ali, MD

  • Internal Medicine Physician
  • Columbia, MD
  • NPI 1073194668
  Medicare reassignment NPD

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

{
    "created_epoch": "1767052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767052800000",
    "number": "1982560264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7153 RIVERS EDGE ROAD",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "21044",
            "telephone_number": "443-545-1752",
            "fax_number": "443-545-1752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7153 RIVERS EDGE ROAD",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "21044",
            "telephone_number": "443-545-1752",
            "fax_number": "443-545-1752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND -BODY SYNERGY MEDICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-30",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A",
        "authorized_official_last_name": "BUTT",
        "authorized_official_first_name": "MUTAHIRA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "443-545-1752"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latosha Tene Mills, RBT
• Peter Mills, RBT
• Curt Milnes, FNP-C
• Julie Ann Mimms, LGPC
• Mimshack Medsolutions Inc
• Mindbridge Behavioral
• Mindful CHI Behavioral Health, Inc.
• Mindful Mental Health, LLC
• Mindful Performance Center Limited Liability Company
• Mindlink LLC

• General Practice Physician in Columbia, MD
• Providers in Columbia, MD by specialty
• General Practice Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.