MUMTAZ SULEMAN (MD) – Psychiatry Physician, NPI 1023017431

MUMTAZ SULEMAN (MD) is a healthcare provider. based in Lafayette, Indiana. specializing in PSYCHIATRY. They hold the professional credentials MD. They hold a License No. L6190 (TX). The NPI Number for MUMTAZ SULEMAN (MD) is 1023017431

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
MUMTAZ SULEMAN (MD)
NPI
1023017431
Phone
(219) 922-5852
Address
1701 S Creasy Ln
Enumeration Date
18 July 2005
Last Update Date
29 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7132669955
Graduation Year
1999 (27 years ago)
PAC ID
0143320051
Group Practice PAC ID
4486711744
Professional Enrollment ID
I20080311000454
Address ID
TX770631777HO7575XSTXX401
Telehealth
Yes

Contacts

Secure Messaging
msuleman626573@direct.sw.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness95
Years active:20State licenses:2Other names

528 PSYCHIATRY in IN

Provider Addresses for MUMTAZ SULEMAN (MD)

  • 1701 S Creasy Ln

    Lafayette, IN 479054972

    Phone: (219) 922-5852

    Fax: (219) 922-5850

    Type: Location

  • 6565 Fannin St Ste 300

    Houston, TX 770302703

    Phone: (832) 667-5301

    Type: Location

  • Band Box Place, Dallas, Dallas County, Texas, 75244, United States

    DALLAS, TX 752844658

    Phone: (254) 724-2111

    Type: Mailing

  • Baylor Scott & White Medical Center - Temple, 2401, South 31st Street, Temple, Bell County, Texas, 76508, United States

    TEMPLE, TX 765083600

    Phone: (254) 724-2111

    Type: Location

  • 2060 SPACE PARK DR

    STE 108

    HOUSTON, TX 770583600

    Phone: (281) 316-6501

    Fax: (281) 339-7180

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2024-06-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 5 Medicare enrollment records; no due dates published yet.

Enrollment records

5

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
I20080311000454IPsychiatryTXTBD
I20180814003741IPsychiatryINTBD
I20191026000034IPsychiatryMITBD
I20220927003108IPsychiatryKSTBD
I20240604003355IPsychiatryOKTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
G0425Telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient via telehealth111111$0
G0407Follow-up inpatient consultation, intermediate, physicians typically spend 25 minutes communicating with the patient via telehealth6257$0
G0426Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth3232$0
G0406Follow-up inpatient consultation, limited, physicians typically spend 15 minutes communicating with the patient via telehealth3029$0
View full utilization report →

Insurance plans in this area (ZIP 47905)

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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: 4486711744View full group profile
NameSpecialtyState
-TX
-TX
Nurse PractitionerTX
Nurse PractitionerTX
Physician AssistantTX
N E U R O L O G YTX
Otolaryngology, Plastic And Reconstructive SurgeryTX
H E M A T O L O G Y/ O N C O L O G YFL
Radiation OncologyGA
Physician AssistantTX

Reviews

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Frequently asked questions

What number should I use to identify MUMTAZ SULEMAN (MD) for billing?
Administrative and clinical systems typically use NPI 1023017431 for MUMTAZ SULEMAN (MD).
Is MUMTAZ SULEMAN (MD)'s NPI status active today?
Active status means MUMTAZ SULEMAN (MD)'s NPI record is not deactivated in the public file.
What type of care does MUMTAZ SULEMAN (MD) provide?
MUMTAZ SULEMAN (MD)'s profile centers on Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Can patients visit MUMTAZ SULEMAN (MD) in Lafayette, Indiana?
For routing, start with Lafayette, Indiana for MUMTAZ SULEMAN (MD), then verify phone and hours locally.
Can I export MUMTAZ SULEMAN (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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