SYED R. MUMTAZ M.D.
NPI 1396718573
Psychiatry & Neurology - Child & Adolescent Psychiatry in Fort Wayne, IN

Q: 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.

Q: 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.

Q: 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.

Active since February 09, 2006PECOS EnrolledAccepts Medicare Assignment

909 E STATE BLVD, FORT WAYNE, IN 46805(260) 481-2700(260) 481-2717 Get Directions Write a Review

NPPES record last updated: April 23, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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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

NPI1396718573

Entity TypeIndividualMale

Primary Taxonomy2084P0804X

Provider Legal NameSYED R. MUMTAZCredential: M.D.

Location Address909 E STATE BLVDFort Wayne, IN 46805-3404

Mailing Address909 E State BlvdFort Wayne, IN 46805-3404 · (260) 481-2700 · Fax (260) 481-2717

Phone(260) 481-2700

Fax(260) 481-2717

Sole ProprietorNo

Medical School CMSOtherGraduated 1983

Enumeration DateFebruary 9, 2006

Last NPPES UpdateApril 23, 2012

✔ NPI 1396718573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0804X

License✔ Licensed in IN · 01049582A

Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

909 E STATE BLVD, Fort Wayne, IN 46805

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Other Identifiers 3

Medicare UPING84662

Medicaid200224110IN

Medicare ID-Type Unspecified945300EEIN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

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.

PECOS PAC ID6709866445

PECOS Enrollment IDI20040726000052

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 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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

93 services31 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

47 services20 patients

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.

COURTNEY LESLEY WASHINGTON

Counselor