MUMTAZ ALAM MEMON MD
NPI 1215904255
Internal Medicine - Cardiovascular Disease in Jackson, MI

Active since March 08, 2006PECOS EnrolledAccepts Medicare Assignment
309 PAGE AVE STE 203, JACKSON, MI 49201(517) 205-1234(172) 051-0505 Get Directions Write a Review

NPPES record last updated: February 15, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mumtaz Alam Memon Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MUMTAZ ALAM MEMON MD (NPI 1215904255) is an individual cardiovascular disease provider in Jackson, Michigan, licensed in Michigan (4301075706) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Henry Ford Health Hospital, and is a graduate of Other (1982).

NPPES Registry Identity

NPI1215904255
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameMUMTAZ ALAM MEMONCredential: MD
Location Address309 PAGE AVE STE 203Jackson, MI 49201-2419
Mailing Address309 Page AveJackson, MI 49201-2419 · (517) 205-1234 · Fax (517) 205-1050
Fax(172) 051-0505
Sole ProprietorNo
Medical School CMSOtherGraduated 1982
Enumeration DateMarch 8, 2006
Last NPPES UpdateFebruary 15, 2023
NPPES CertifiedFebruary 15, 2023
NPI 1215904255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in MI · 4301075706
Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

309 PAGE AVE STE 203, Jackson, MI 49201

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mumtaz Alam Memon Md 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.

PECOS PAC ID5799679353
PECOS Enrollment IDI20040212000881
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 28

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
1,150 services784 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
256 services196 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
184 services184 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
170 services169 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
149 services148 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016
An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.
109 services109 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Henry Ford Health Hospital

Acute Care Hospitals · Detroit, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230053
Location2799 W Grand BlvdDetroit, MI 48202 · Wayne County
Emergency services Birthing friendly

Henry Ford Allegiance Health

Acute Care Hospitals · Jackson, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230092
Location205 N East AveJackson, MI 49201 · Jackson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Cardiovascular Disease)
309 PAGE AVE STE 203
JACKSON, MI 49201
Internal Medicine (Cardiovascular Disease)
309 PAGE AVE STE 203
JACKSON, MI 49201

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 Mumtaz Memon's NPI number?

The NPI number for Mumtaz Memon is 1215904255. It was assigned to this individual provider in the NPPES registry on March 8, 2006.

Where is Mumtaz Memon located?

Mumtaz Memon practices at 309 Page Ave Ste 203, Jackson, MI 49201. The listed phone number is (517) 205-1234.

What is Mumtaz Memon's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Mumtaz Memon enrolled in Medicare?

Yes. Mumtaz Memon 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.

What insurance does Mumtaz Memon accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Mumtaz Memon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Mumtaz Memon affiliated with any hospitals?

According to CMS data, Mumtaz Memon is affiliated with Henry Ford Health Hospital and Henry Ford Allegiance Health.

When was this NPI record last updated?

The NPPES record for Mumtaz Memon was last updated on February 15, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.