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Syed R. Mumtaz

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NPI Number Detailed Information

Provider Information:

Name: Syed R. Mumtaz
Gender: M
Provider License Number If Given: 01049582A

NPI Information:

NPI: 1396718573
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 2/9/2006

Last Update Date: 4/23/2012

Reputation Report:

Provider Business Mailing Address:

Address: 909 E STATE BLVD
Fort Wayne, IN 46805
Phone Number: 2604812700
Fax Number: 2604812717

Provider Business Practice Location Address:

Address: 909 E STATE BLVD
Fort Wayne, IN 46805
Phone Number: 2604812700
Fax Number: 2604812717

Provider Taxonomy:

Primary: 2084P0804X
Secondary (if any):
State: IN

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About Syed R. Mumtaz

Syed R. Mumtaz ( SYED R. MUMTAZ ) is Child Psychiatry & Neurology Physician in Fort Wayne, IN. The NPI Number for Syed R. Mumtaz is 1396718573.
The current location address for Syed R. Mumtaz is 909 E STATE BLVD Fort Wayne, IN 46805 and the contact number is 2604812700 and fax number is 2604812717. The mailing address for Syed R. Mumtaz is 909 E STATE BLVD Fort Wayne, IN 46805- 2604812700 (mailing address contact number - 2604812700).
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

Provider Business Location on Map

FAQs:

What is the NPI Number for Syed R. Mumtaz ?


Answer: The NPI Number for Syed R. Mumtaz is 1396718573

Where is Syed R. Mumtaz located?


Answer: Syed R. Mumtaz is located at 909 E STATE BLVD Fort Wayne, IN 46805.

What is the specialty for Syed R. Mumtaz ?


Answer: The Specialty of Syed R. Mumtaz is Child Psychiatry & Neurology Physician.

Are there any online reviews for Syed R. Mumtaz ?


Answer: Yes! Check It Now.

Are there any other health care providers in Fort Wayne, IN?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Syed R. Mumtaz

Number of HCPCS 8
Number of Medicare Beneficiaries 55
Number of Services 874
Total Submitted Charge Amount 9915.03
Total Medicare Allowed Amount 7956.64
Total Medicare Payment Amount 5060.15
Total Medicare Standardized Payment Amount 5446.63
Drug Suppress Indicator *
Number of HCPCS Associated With Drug Services
Number of Medicare Beneficiaries With Drug Services
Number of Drug Services
Total Drug Submitted Charge Amount
Total Drug Medicare Allowed Amount
Total Drug Medicare Payment Amount
Total Drug Medicare Standardized Payment Amount
Medical Suppress Indicator #
Number of HCPCS Associated With Medical Services
Number of Medicare Beneficiaries With Medical
Number of Medical Services
Total Medical Submitted Charge Amount
Total Medical Medicare Allowed Amount
Total Medical Medicare Payment Amount
Total Medical Medicare Standardized Payment Amount
Average Age of Beneficiaries 52
Number of Beneficiaries Age Less 65 40
Number of Beneficiaries Age 65 to 74
Number of Beneficiaries Age 75 to 84
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries 29
Number of Male Beneficiaries 26
Number of Non-Hispanic White Beneficiaries 44
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries 0
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries 0
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement 37
Number of Beneficiaries With Medicare Only Entitlement 18
Percent (%) of Beneficiaries Identified With Atrial Fibrillation
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia
Percent (%) of Beneficiaries Identified With Asthma
Percent (%) of Beneficiaries Identified With Cancer
Percent (%) of Beneficiaries Identified With Heart Failure
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease
Percent (%) of Beneficiaries Identified With Depression 0.6
Percent (%) of Beneficiaries Identified With Diabetes 0.22
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.45
Percent (%) of Beneficiaries Identified With Hypertension 0.47
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.22
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders 0.36
Percent (%) of Beneficiaries Identified With Stroke 0
Average HCC Risk Score of Beneficiaries 0.9816

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type Psychiatry
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 1258
Number of Standardized 30-Day Fills 1563.8666667
Aggregate Cost Paid for All Claims 350528.41
Number of Day's Supply for All Claims 45592
Number of Medicare Beneficiaries 153
Number of Claims, Including Refills, for Beneficiaries Age 65+ 226
Including Refills, for Beneficiaries Age 65+ 314.83333333
Beneficiaries Age 65+ 66602.84
Number of Day's Supply for All Claims for Beneficaries Age 65+ 9192
Number of Medicare Beneficiaries Age 65+ 44
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 164
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 1094
Aggregate Cost Paid for Generic Drugs 39806.45
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills 0
Aggregate Cost Paid for Other Drugs 0
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 616
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 178433.22
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 642
Aggregate Cost Paid for Claims Filled by 172095.19
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 1112
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 347691.21
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 146
by Low-Income Subsidy 2837.2
Total Claims of Opioid Drugs, Including 0
Aggregate Cost Paid for Opioid Drugs 0
Opioid Claims 0
Opioid_Tot_Clms divided by the Tot_Clms 0
Total Claims of Long-Acting Opioid Drugs 0
Aggregate Cost Paid for Long-Acting Opioid 0
Number of Day's Supply of All Long-Acting 0
Long-Acting Opioid Claims 0
Opioid_LA_Tot_Clms divided by the
Total Claims of Antibiotic Drugs, Including 0
Aggregate Cost Paid for Antibiotic Drugs 0
Antibiotic Claims 0
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+ 62
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+ 42920.11
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims 19
Average Age of Beneficiaries 53.490196078
Number of Beneficiaries Age Less Than 65 109
Number of Beneficiaries Age 65 to 74 38
Number of Beneficiaries Age 75 to 84
Number of Female Beneficiaries 89
Number of Male Beneficiaries 64
Number of Non-Hispanic White 120
Number of Black or African American 21
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries
Number of Beneficiaries with Race Not
Only Entitlement 36
Average Hierarchical Condition Category 1.2618099129

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