AISHA AMBER MUMTAZ (M.D.) – Dermatology Physician, NPI 1114450574
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
406 DERMATOLOGY in MD
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Provider Addresses for AISHA AMBER MUMTAZ (M.D.)
MedStar Harbor Hospital, 3001, South Hanover Street, Baltimore, Maryland, 21225, United States
DEPT OF MEDICINE
BALTIMORE, MD 212251233
Phone: (410) 350-3565
Type: Mailing
419 W REDWOOD ST STE 235
BALTIMORE, MD 212017031
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $452.
Total Amount is formed as General ($452) + Research ($0) + Ownership ($0) = $452.
Last reported payment date: 2024-04-23 • Largest payer in this snapshot: Galderma Laboratories, L.P. ($176).
Total Amount
$452
General + Research + Ownership
Payments
6
Total payment records
General Amount
$452
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Galderma Laboratories, L.P. | $176 |
| Dermavant Sciences, Inc. | $158 |
| ABBVIE INC. | $52 |
| Janssen Biotech, Inc. | $38 |
| Incyte Corporation | $28 |
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: 2024-12-19
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20241219000368 | I | Dermatology | MD | TBD |
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.
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 21225)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | IL | |
| D E R M A T O L O G Y | MD | |
| D E R M A T O L O G Y | MD | |
| - | MD | |
| D E R M A T O L O G Y | MD | |
| Nurse Practitioner | MD | |
| D E R M A T O L O G Y | MD | |
| D E R M A T O L O G Y | MD | |
| D E R M A T O L O G Y | MD | |
| Physician Assistant | MD |
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