TANVER AHMED MAZUMDER (FNP-C) – Family Nurse Practitioner, NPI 1043042872

TANVER AHMED MAZUMDER (FNP-C) is a healthcare provider. based in Pearland, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. A179727 (IA). The NPI Number for TANVER AHMED MAZUMDER (FNP-C) is 1043042872

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
TANVER AHMED MAZUMDER (FNP-C)
NPI
1043042872
Phone
(713) 442-0000
Address
11511 SHADOW CREEK PKWY
Enumeration Date
19 August 2024
Last Update Date
30 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5152250188
Graduation Year
2021 (5 years ago)
PAC ID
8729512421
Group Practice PAC ID
2264422682
Professional Enrollment ID
I20241115004105
Address ID
IA502661010WE4060XPKWY300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness85
Years active:1State licenses:2Digital endpointsOther names

3,529 NURSE PRACTITIONER in IA

Provider Addresses for TANVER AHMED MAZUMDER (FNP-C)

  • 11511 SHADOW CREEK PKWY

    PEARLAND, TX 775847298

    Phone: (713) 442-0000

    Type: Mailing

  • 400 SE DELAWARE AVE

    ANKENY, IA 500213454

    Phone: (515) 225-0188

    Type: Location

  • 25553 Highway 59

    Porter, TX 773656154

    Phone: (713) 442-2100

    Type: Location

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 $134.

Total Amount is formed as General ($134) + Research ($0) + Ownership ($0) = $134.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: JAZZ PHARMACEUTICALS INC. ($65).

Total Amount

$134

General + Research + Ownership

Payments

6

Total payment records

General Amount

$134

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2026-01-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20241115004105INurse PractitionerIATBD
I20260108001448INurse PractitionerTXTBD

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 77584)

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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: 2264422682View full group profile
NameSpecialtyState
-IA
Sleep Medicine, Pulmonary Disease, Internal MedicineIA
Nurse PractitionerID
Physician AssistantIA
-IA

Reviews

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Frequently asked questions

Does TANVER AHMED MAZUMDER (FNP-C) have a public NPI I can cite?
Public records show TANVER AHMED MAZUMDER (FNP-C) under NPI 1043042872.
Is TANVER AHMED MAZUMDER (FNP-C) currently accepting referrals based on NPI status?
Registry metadata lists TANVER AHMED MAZUMDER (FNP-C) as active.
Which specialty label fits TANVER AHMED MAZUMDER (FNP-C)?
NPPES ties TANVER AHMED MAZUMDER (FNP-C) to Family Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to TANVER AHMED MAZUMDER (FNP-C)?
TANVER AHMED MAZUMDER (FNP-C) is associated with Pearland, Texas in the same public data insurers reference.
Why is information missing for TANVER AHMED MAZUMDER (FNP-C)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.