MARYAM MUMTAZ PA-C
NPI 1962223149
Physician Assistant in Zephyrhills, FL

Q: What is Maryam Mumtaz's NPI number?

The NPI number for Maryam Mumtaz is 1962223149. It was assigned to this individual provider in the NPPES registry on October 21, 2024.

Q: What is Maryam Mumtaz's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Maryam Mumtaz was last updated on May 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 October 21, 2024PECOS EnrolledAccepts Medicare Assignment

7050 GALL BLVD, ZEPHYRHILLS, FL 33541(813) 779-1209(813) 779-1216 Get Directions Write a Review

NPPES record last updated: May 2, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Maryam Mumtaz Pa-c NPPES

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

MARYAM MUMTAZ PA-C (NPI 1962223149) is an individual physician assistant in Zephyrhills, Florida, licensed in Florida (PA9119335) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS, is affiliated with Florida Hospital Zephyrhills, and maintains a secondary practice location in Fort Myers.

NPPES Registry Identity

NPI1962223149

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMARYAM MUMTAZCredential: PA-C

Location Address7050 GALL BLVDZephyrhills, FL 33541-1347

Mailing Address7050 Gall BlvdZephyrhills, FL 33541-1347 · (813) 779-1209 · Fax (813) 779-1216

Phone(813) 779-1209

Fax(813) 779-1216

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateOctober 21, 2024

Last NPPES UpdateMay 2, 2025

NPPES CertifiedMay 2, 2025

✔ NPI 1962223149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in FL · PA9119335

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

7050 GALL BLVD, Zephyrhills, FL 33541

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Secondary Practice Location 1

Location 13650 Colonial CtFort Myers, FL 33913-6636 · Phone (239) 274-6070

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

Maryam Mumtaz Pa-c 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 ID840716957

PECOS Enrollment IDI20250430003772

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.

Hospital Affiliations CMS Care Compare 4

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

Florida Hospital Zephyrhills

Acute Care Hospitals · Zephyrhills, FL

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number100046

Location7050 Gall BlvdZephyrhills, FL 33541 · Pasco County

Emergency services Birthing friendly

Adventhealth Tampa

Acute Care Hospitals · Tampa, FL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100173

Location3100 E Fletcher AveTampa, FL 33613 · Hillsborough County

Emergency services Birthing friendly

Adventhealth Dade City

Acute Care Hospitals · Dade City, FL

4/5 CMS rating

OwnershipProprietary

CMS Certification Number100211

Location13100 Ft King RdDade City, FL 33525 · Pasco County

Adventhealth Wesley Chapel

Acute Care Hospitals · Wesley Chapel, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100319

Location2600 Bruce B Downs BlvdWesley Chapel, FL 33544 · Pasco County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33541 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

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 20

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

ASHLEY PATRICE DOLAN

Nurse Anesthetist, Certified Registered