MUZAMMIL MUSHTAQ (M.D.) – Interventional Cardiology Physician, NPI 1093977639

MUZAMMIL MUSHTAQ (M.D.) is a healthcare provider. based in Fort wayne, Indiana. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY), INTERVENTIONAL CARDIOLOGY. They hold the professional credentials M.D.. They hold a License No. N9918 (TX). The NPI Number for MUZAMMIL MUSHTAQ (M.D.) is 1093977639

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
MUZAMMIL MUSHTAQ (M.D.)
NPI
1093977639
Phone
(260) 479-3514
Address
6920 POINTE INVERNESS WAY STE 200
Enumeration Date
25 June 2008
Last Update Date
8 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8173381300
Graduation Year
1999 (27 years ago)
PAC ID
7214073055
Group Practice PAC ID
4082696562
Professional Enrollment ID
I20230220000248
Address ID
TX761044048FO1900XBLVD301
Telehealth
Yes

Contacts

Secure Messaging
muzammil.mushtaq@lutheranhealthnetwork.cernerdirect.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness85
Years active:17State licenses:1Other namesUpdated within 12 months

724 CARDIOVASCULAR DISEASE (CARDIOLOGY) in IN

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Provider Addresses for MUZAMMIL MUSHTAQ (M.D.)

  • Pointe Inverness Way, Covington Dells, Fort Wayne, Allen County, Indiana, 46804, United States

    FORT WAYNE, IN 468047934

    Phone: (260) 479-3514

    Fax: (260) 479-3520

    Type: Mailing

  • 7916, West Jefferson Boulevard, Fort Wayne, Allen County, Indiana, 46804, United States

    FORT WAYNE, IN 468044140

    Phone: (260) 432-2297

    Fax: (260) 434-6433

    Type: Location

  • 200 W MAGNOLIA AVE STE 201

    FT WORTH, TX 761047657

    Phone: (817) 702-1100

    Fax: (817) 702-2140

    Type: Mailing

  • 1500 S MAIN ST

    FORT WORTH, TX 761044917

    Phone: (817) 702-1100

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 21 Open Payments records for all available years, with a total value of $696.

Total Amount is formed as General ($696) + Research ($0) + Ownership ($0) = $696.

Last reported payment date: 2023-09-06 • Largest payer in this snapshot: Abbott Laboratories ($217).

Total Amount

$696

General + Research + Ownership

Payments

21

Total payment records

General Amount

$696

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-06

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: 2024-11-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

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
I20180131000782IInternal MedicineMATBD
I20230220000248ICardiovascular Disease (Cardiology)TXTBD
I20240822004817IInterventional CardiologyNMTBD
I20241114002909IInterventional CardiologyMOTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes9649$0
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function4545$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only2926$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report2525$0
99204New patient office or other outpatient visit, 45-59 minutes2121$0
View full utilization report →

Insurance plans in this area (ZIP 46804)

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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: 4082696562View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology)TX
-TX
Interventional CardiologyTX
-TX
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology)IA
Nurse PractitionerTX
Interventional Cardiology, Cardiovascular Disease (Cardiology)TX
-TX
Cardiovascular Disease (Cardiology), Interventional CardiologyAL
Physician AssistantTX

Reviews

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Frequently asked questions

What federal number belongs to MUZAMMIL MUSHTAQ (M.D.)?
The federal identifier for MUZAMMIL MUSHTAQ (M.D.) is NPI 1093977639.
Is MUZAMMIL MUSHTAQ (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is MUZAMMIL MUSHTAQ (M.D.)?
The page reflects Interventional Cardiology Physician for MUZAMMIL MUSHTAQ (M.D.). Clinical services aligned with this taxonomy classification.
Where does public data place MUZAMMIL MUSHTAQ (M.D.)?
The snapshot lists Fort Wayne, Indiana for MUZAMMIL MUSHTAQ (M.D.); download NPPES for the complete set.
How can I contact MUZAMMIL MUSHTAQ (M.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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