DR. MUNTAZIM MUKIT MD
NPI 1235591371
Plastic Surgery in Memphis, TN

Q: What is Muntazim Mukit's NPI number?

The NPI number for Muntazim Mukit is 1235591371. It was assigned to this individual provider in the NPPES registry on March 28, 2016.

Q: What is Muntazim Mukit's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Q: When was this NPI record last updated?

The NPPES record for Muntazim Mukit was last updated on August 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since March 28, 2016PECOS EnrolledAccepts Medicare Assignment

1068 CRESTHAVEN RD STE 500, MEMPHIS, TN 38119(901) 866-8525(901) 302-2525 Get Directions Write a Review

NPPES record last updated: August 4, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 4, 2025, Jun 18, 2024, May 19, 2023 and 2 more (5 updates tracked since 2016).

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About Dr. Muntazim Mukit Md NPPES

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

DR. MUNTAZIM MUKIT MD (NPI 1235591371) is an individual plastic surgery provider in Memphis, Tennessee, licensed in Tennessee (74042) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, is affiliated with Regional One Health, and is a graduate of State University Of New York At Stony Brook, School Of Medicine (2016).

NPPES Registry Identity

NPI1235591371

Entity TypeIndividualMale

Primary Taxonomy208200000X

Provider Legal NameDR. MUNTAZIM MUKITCredential: MD

Location Address1068 CRESTHAVEN RD STE 500Memphis, TN 38119-0846

Mailing Address1068 Cresthaven Rd Ste 300Memphis, TN 38119-0809 · (901) 866-8864

Phone(901) 866-8525

Fax(901) 302-2525

Sole ProprietorNo

Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 2016

Enumeration DateMarch 28, 2016

Last NPPES UpdateAugust 4, 20255 updates tracked since enumeration

NPPES CertifiedJuly 30, 2025

✔ NPI 1235591371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

License✔ Licensed in TN · 74042

Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Also ListedPlastic Surgery · Surgery of the HandTaxonomy 2082S0105X · License 74042 (TN)

1068 CRESTHAVEN RD STE 500, Memphis, TN 38119

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter Health and more.Insurance ›

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

Dr. Muntazim Mukit 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 ID5092174870

PECOS Enrollment IDI20250819003229

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.

Medicare Billing Reassignments

Medicare enrollment records show Muntazim Mukit reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ut Medical Group Inc

Same address

Multi-Specialty

1068 CRESTHAVEN RD STE 300
Memphis, TN 38119

Reassigned Medicare billing, Tennessee enrollment
157 clinicians in this Medicare group

NPI 1780676650 (901) 866-8864

Ut Lebonheur Pediatric Specialists, Inc.

9.4 mi

Pediatrics

848 ADAMS AVE.
Memphis, TN 38103

Reassigned Medicare billing, Tennessee enrollment
582 clinicians in this Medicare group

NPI 1093024101 (901) 287-7337

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Regional One Health

Acute Care Hospitals · Memphis, TN

1/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number440152

Location877 Jefferson AvenueMemphis, TN 38103 · Shelby County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38119 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$66.01 typical visit price

range $16.72 – $131.41

Typical copayment $16.50 (range $4.18 – $32.85)

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 15

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

DR. ROBERT D WALLACE MD

Surgery (Plastic and Reconstructive Surgery)