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AZZAM MUFTAH MD PA
NPI 1346375839
Specialist in Brooksville, FL

Active since February 23, 2007
15205 CORTEZ BLVD, BROOKSVILLE, FL 34613(352) 597-7744(352) 597-7797 Get Directions Write a Review

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

About Azzam Muftah Md Pa NPPES

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

AZZAM MUFTAH MD PA (NPI 1346375839) is a healthcare organization registered as a specialist in Brooksville, Florida and active in the NPI registry since February 2007. The organization lists Azzam Muftah, Physician, as its authorized official.

NPPES Registry Identity

NPI1346375839
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameAZZAM MUFTAH MD PA
Location Address15205 CORTEZ BLVDBrooksville, FL 34613-6072
Mailing Address15205 Cortez BlvdBrooksville, FL 34613-6072 · (352) 597-7744 · Fax (352) 597-7797
Phone(352) 597-7744
Fax(352) 597-7797
Organization SubpartNo
Authorized OfficialAzzam MuftahPhysician · (352) 597-7744
Enumeration DateFebruary 23, 2007
Last NPPES UpdateJune 25, 2026
NPPES CertifiedJune 25, 2026
✔ NPI 1346375839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in FL · ME 68485
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
15205 CORTEZ BLVD, Brooksville, FL 34613
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Azzam Muftah Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Azzam Muftah MD PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Azzam Muftah, M.D.
Gastroenterology
NPI 1417918988
15205 CORTEZ BLVD
Brooksville, FL 34613
(352) 597-7744
✔ PECOS✔ Accepts MedicareSame address

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 10D2310859

Azzam Muftah MD PA · Brooksville, FL
Expired · Sep 10, 2026
CLIA Number10D2310859
Laboratory TypePhysician Office
Certificate Effective DateSeptember 11, 2024
Certificate Expiration DateSeptember 10, 2026
Laboratory DirectorAzzam Muftah
Laboratory Phone(352) 597-7744
Laboratory LocationAzzam Muftah MD PA15205 Cortez Blvd, Brooksville, FL 34613
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Azzam Muftah MD PA's NPI number?

The NPI number for Azzam Muftah MD PA is 1346375839. It was assigned to this organization in the NPPES registry on February 23, 2007.

Where is Azzam Muftah MD PA located?

Azzam Muftah MD PA is located at 15205 Cortez Blvd, Brooksville, FL 34613. The listed phone number is (352) 597-7744.

What is Azzam Muftah MD PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Azzam Muftah MD PA enrolled in Medicare?

Yes. Azzam Muftah MD PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Azzam Muftah MD PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Gastroenterology) reassigns their Medicare billing to Azzam Muftah MD PA. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Azzam Muftah MD PA was last updated on June 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.