DR. SYED TAHA MUNTAJIBUDDIN M.D., M.S.
NPI 1881071066
Pediatrics - Pediatric Hematology-Oncology in Fort Worth, TX

Q: What is Syed Muntajibuddin's NPI number?

The NPI number for Syed Muntajibuddin is 1881071066. It was assigned to this individual provider in the NPPES registry on April 27, 2015.

Q: What is Syed Muntajibuddin's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Active since April 27, 2015PECOS Enrolled

1500 COOPER ST, FORT WORTH, TX 76104(682) 885-6200 Get Directions Write a Review

NPPES record last updated: August 1, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Mar 14, 2023, Oct 19, 2018, Sep 12, 2018 (3 updates tracked since 2018).

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About Dr. Syed Taha Muntajibuddin M.d., M.s. NPPES

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

DR. SYED TAHA MUNTAJIBUDDIN M.D., M.S. (NPI 1881071066) is an individual pediatric hematology-oncology provider in Fort Worth, Texas, licensed in Texas (R8793) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS and maintains a secondary practice location in Houston.

NPPES Registry Identity

NPI1881071066

Entity TypeIndividualMale

Primary Taxonomy2080P0207X

Provider Legal NameDR. SYED TAHA MUNTAJIBUDDINCredential: M.D., M.S.

Location Address1500 COOPER STFort Worth, TX 76104-2710

Mailing AddressPo Box 733784Dallas, TX 75373-3784 · (682) 885-6483 · Fax (682) 885-3113

Phone(682) 885-6200

Sole ProprietorNo

Enumeration DateApril 27, 2015

Last NPPES UpdateAugust 1, 20233 updates tracked since enumeration

NPPES CertifiedAugust 1, 2023

✔ NPI 1881071066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0207X

License✔ Licensed in TX · R8793

Definition

A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.

Also ListedPediatricsTaxonomy 208000000X · License R8793 (TX)

1500 COOPER ST, Fort Worth, TX 76104

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Secondary Practice Location 1

Location 16701 Fannin Street, Houston, TX 77030Houston, TX 77030 · Phone (832) 824-1000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Syed Taha Muntajibuddin M.d., M.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

KATRINA L WILLIE-MUSOMA MD

Pediatrics (Neurodevelopmental Disabilities)