TAKWI MUMA (MD) – Family Medicine Physician, NPI 1477012425

TAKWI MUMA (MD) is a healthcare provider. based in Dearborn hts, Michigan. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. U2581 (TX). The NPI Number for TAKWI MUMA (MD) is 1477012425

Main info

Male
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
TAKWI MUMA (MD)
NPI
1477012425
Phone
(313) 258-0148
Address
20855 WHITLOCK DR
Enumeration Date
19 March 2019
Last Update Date
3 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8302786251
Graduation Year
2012 (14 years ago)
PAC ID
7214388453
Group Practice PAC ID
6608024633
Professional Enrollment ID
I20240111003462
Address ID
TX788014809UV1025XRDXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

1,499 FAMILY PRACTICE in AR

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Provider Addresses for TAKWI MUMA (MD)

  • 20855, Whitlock Drive, Dearborn Heights, Wayne County, Michigan, 48127, United States

    DEARBORN HTS, MI 481272673

    Phone: (313) 258-0148

    Type: Mailing

  • UAMS Northwest, 1125, North College Avenue, Evelyn Hills Shopping Center, Fayetteville, Washington County, Arkansas, 72703, United States

    FAYETTEVILLE, AR 727031908

    Phone: (479) 521-0263

    Type: Location

  • 1125 N College Ave

    Fayetteville, AR 727031908

    Phone: (479) 521-0263

    Type: Location

  • 903 W MARTIN ST # MS 49-2

    SAN ANTONIO, TX 782070903

    Phone: (201) 358-5909

    Fax: (210) 358-5940

    Type: Mailing

  • 8455 CRESTWAY RD

    CONVERSE, TX 781093527

    Phone: (210) 644-2700

    Fax: (210) 702-4623

    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: 2024-01-11

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
I20240111003462IFamily PracticeTXTBD

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 48127)

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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: 6608024633View full group profile
NameSpecialtyState
Nephrology, Internal MedicineTX
H O S P I T A L I S TTX
-TX
Family PracticeTX
Family PracticeTX
Pulmonary Disease, Critical Care (Intensivists), Internal MedicineTX
Internal MedicineTX
-TX
Nurse PractitionerTX
Family PracticeTX

Reviews

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Frequently asked questions

What number should I use to identify TAKWI MUMA (MD) for billing?
Administrative and clinical systems typically use NPI 1477012425 for TAKWI MUMA (MD).
Should I treat TAKWI MUMA (MD) as an active provider?
Patients and plans typically see TAKWI MUMA (MD) as active in the national extract.
Which specialty label fits TAKWI MUMA (MD)?
NPPES ties TAKWI MUMA (MD) to Family Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to TAKWI MUMA (MD)?
The directory associates TAKWI MUMA (MD) with Dearborn Hts, Michigan. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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