AISHA AMBER MUMTAZ M.D.
NPI 1114450574
Dermatology in Baltimore, MD
About Aisha Amber Mumtaz M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AISHA AMBER MUMTAZ M.D. (NPI 1114450574) is an individual dermatology provider in Baltimore, Maryland, licensed in Maryland (D0101729) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Aisha Amber Mumtaz M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Aisha Mumtaz reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Baltimore, MD 21201
- Reassigned Medicare billing, Maryland enrollment
- 20 clinicians in this Medicare group
Baltimore, MD 21215
- Reassigned Medicare billing, Maryland and District of Columbia enrollments
- Also billed through NPI 1043053523 (District of Columbia)
- 101 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 21201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BALTIMORE, MD 21201
BALTIMORE, MD 21201
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Aisha Mumtaz's NPI number?
The NPI number for Aisha Mumtaz is 1114450574. It was assigned to this individual provider in the NPPES registry on April 4, 2017.
Where is Aisha Mumtaz located?
Aisha Mumtaz practices at 419 W Redwood St Ste 235, Baltimore, MD 21201. The listed phone number is (667) 214-1171.
What is Aisha Mumtaz's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Aisha Mumtaz enrolled in Medicare?
Yes. Aisha Mumtaz is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Aisha Mumtaz's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Aisha Mumtaz reassigns Medicare benefits to 2 organizations: University Of Maryland Dermatologists PA (Baltimore, MD) and Synergy Medical Group LLC (Baltimore, MD). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Aisha Mumtaz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Aisha Mumtaz was last updated on February 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Aisha Amber Mumtaz, M.D. · NPI 1114450574
Dermatology physician in Baltimore, Maryland. Individual provider, active in the CMS NPPES registry since April 4, 2017.
## Identity
- **NPI:** 1114450574 (Entity type: Individual)
- **Enumerated:** April 4, 2017
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **State license:** D0101729 (Maryland)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 419 W REDWOOD ST STE 235, Baltimore, MD 21201-7031
- **Phone:** (667) 214-1171
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): University Of Maryland Dermatologists PA (NPI 1033927470, Baltimore, MD); Synergy Medical Group LLC (NPI 1154297455, Baltimore, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** February 4, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1114450574) · Data from the CMS NPPES public registry.