SYED R. MUMTAZ M.D.
NPI 1396718573
Psychiatry & Neurology - Child & Adolescent Psychiatry in Fort Wayne, IN
About Syed R. Mumtaz M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SYED R. MUMTAZ M.D. (NPI 1396718573) is an individual child & adolescent psychiatry provider in Fort Wayne, Indiana, licensed in Indiana (01049582A) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1983).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Accepted 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
Syed R. 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
3Medicare enrollment records show Syed Mumtaz reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fort Wayne, IN 46804
- Reassigned Medicare billing, Indiana enrollment
- Medicare enrollment name: Hospital Care Group PC
- 50 clinicians in this Medicare group
Marion, IN 46952
- Reassigned Medicare billing, Indiana enrollment
- 40 clinicians in this Medicare group
Greenfield, IN 46140
- Reassigned Medicare billing, Indiana enrollment
- 203 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.
Areas of Expertise CMS Part B claims 2
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.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Syed Mumtaz's NPI number?
The NPI number for Syed Mumtaz is 1396718573. It was assigned to this individual provider in the NPPES registry on February 9, 2006.
Where is Syed Mumtaz located?
Syed Mumtaz practices at 909 E State Blvd, Fort Wayne, IN 46805. The listed phone number is (260) 481-2700.
What is Syed Mumtaz's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.
Is Syed Mumtaz enrolled in Medicare?
Yes. Syed 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 Syed Mumtaz's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Syed Mumtaz reassigns Medicare benefits to 3 organizations: Hospital Care Group, P.C. (Fort Wayne, IN), Grant-Blackford Mental Health, Inc. (Marion, IN) and Hancock Physician Network, LLC (Greenfield, IN). 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 Syed Mumtaz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Syed Mumtaz accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Syed Mumtaz 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.
When was this NPI record last updated?
The NPPES record for Syed Mumtaz was last updated on April 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.
# Syed R. Mumtaz, M.D. · NPI 1396718573
Child & Adolescent Psychiatry physician in Fort Wayne, Indiana. Individual provider, active in the CMS NPPES registry since February 9, 2006.
## Identity
- **NPI:** 1396718573 (Entity type: Individual)
- **Enumerated:** February 9, 2006
- **Primary specialty:** Psychiatry & Neurology - Child & Adolescent Psychiatry · taxonomy 2084P0804X
- **State license:** 01049582A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 909 E STATE BLVD, Fort Wayne, IN 46805-3404
- **Phone:** (260) 481-2700 · **Fax:** (260) 481-2717
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): Hospital Care Group, P.C. (NPI 1295083624, Fort Wayne, IN); Grant-Blackford Mental Health, Inc. (NPI 1437983103, Marion, IN); Hancock Physician Network, LLC (NPI 1609806470, Greenfield, IN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1983
## Record status
- **NPPES last updated:** April 23, 2012
- **Other identifiers:** Medicare UPIN G84662; Medicaid 200224110 (IN); Medicare ID-Type Unspecified 945300EE (IN)
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Source: [NPI Profile](https://npiprofile.com/npi/1396718573) · Data from the CMS NPPES public registry.