MAHA MUMTAZ (MD) – Internal Medicine Physician, NPI 1871164152

MAHA MUMTAZ (MD) is a healthcare provider. based in Quincy, Illinois. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 036170336 (IL). The NPI Number for MAHA MUMTAZ (MD) is 1871164152

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
MAHA MUMTAZ (MD)
NPI
1871164152
Phone
(217) 223-1200
Address
1005 BROADWAY ST
Enumeration Date
7 July 2021
Last Update Date
19 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2172238400
Graduation Year
2017 (9 years ago)
PAC ID
7719380096
Group Practice PAC ID
3072422534
Professional Enrollment ID
I20250318001293
Address ID
IL623012834QU1005XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness85
Years active:4State licenses:1Digital endpointsOther names

8,824 INTERNAL MEDICINE in IL

Provider Addresses for MAHA MUMTAZ (MD)

  • 1005 BROADWAY ST

    QUINCY, IL 623012834

    Phone: (217) 223-1200

    Fax: (217) 277-8988

    Type: Location

  • 1086 FRANKLIN ST

    JOHNSTOWN, PA 159054305

    Phone: (814) 534-9104

    Fax: (814) 534-9559

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $247.

Total Amount is formed as General ($247) + Research ($0) + Ownership ($0) = $247.

Last reported payment date: 2024-08-29 • Largest payer in this snapshot: Amgen Inc. ($85).

Total Amount

$247

General + Research + Ownership

Payments

9

Total payment records

General Amount

$247

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-29

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-03-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250318001293IInternal MedicineILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62301)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3072422534View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YIL
Nurse PractitionerIL
N E U R O L O G YMI
Radiation OncologyIL
Nurse PractitionerIL
Nurse PractitionerIL
Pain Management, AnesthesiologyIL
Family Practice, Emergency MedicineIL
Nurse PractitionerIL
Family PracticeIL

Reviews

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Frequently asked questions

What number should I use to identify MAHA MUMTAZ (MD) for billing?
Administrative and clinical systems typically use NPI 1871164152 for MAHA MUMTAZ (MD).
Is MAHA MUMTAZ (MD) currently accepting referrals based on NPI status?
Registry metadata lists MAHA MUMTAZ (MD) as active.
What type of care does MAHA MUMTAZ (MD) provide?
MAHA MUMTAZ (MD)'s profile centers on Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What city is tied to MAHA MUMTAZ (MD)?
The directory associates MAHA MUMTAZ (MD) with Quincy, Illinois. Check all listed addresses for suites or satellite offices.
Who maintains MAHA MUMTAZ (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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