Dr Muhammad Shahzad Mumtaz Ansari, MD in Mishawaka, IN - Pediatrics

Dr Muhammad Shahzad Mumtaz Ansari, MD is a Pediatrics physician based in Mishawaka, Indiana. Dr Muhammad Shahzad Mumtaz Ansari is licensed to practice in Indiana (license number 01076678A) and his current practice location is 5215 Holy Cross Pkwy, Mishawaka, Indiana. He can be reached at his office (for appointments etc.) via phone at (574) 335-4145.

NPI number for Dr Muhammad Shahzad Mumtaz Ansari is 1184937245 and his current mailing address is 707 E Cedar St, Ste 200, South Bend, Indiana. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1184937245.

Contact Information

	Dr Muhammad Shahzad Mumtaz Ansari, MD
	5215 Holy Cross Pkwy, Mishawaka, IN 46545-1469
	(574) 335-4145
	(574) 335-4146

Physician's Profile

Full Name	Dr Muhammad Shahzad Mumtaz Ansari
Gender	Male
Speciality	Pediatrics
Location	5215 Holy Cross Pkwy, Mishawaka, Indiana
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1184937245
Provider Enumeration Date: 07/19/2010
Last Update Date: 07/20/2023

Medical Identifiers

Medical identifiers for Dr Muhammad Shahzad Mumtaz Ansari such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184937245	NPI	-	NPPES
000001019988	Other	IN	ANTHEM BCBS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	036132394 (Illinois)	Secondary
2080N0001X	Pediatrics - Neonatal-perinatal Medicine	82081-20 (Wisconsin)	Secondary
208000000X	Pediatrics	01076678A (Indiana)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Muhammad Shahzad Mumtaz Ansari is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Muhammad Shahzad Mumtaz Ansari, MD 707 E Cedar St, Ste 200, South Bend, IN 46617-2057 Ph: (574) 335-8700	Dr Muhammad Shahzad Mumtaz Ansari, MD 5215 Holy Cross Pkwy, Mishawaka, IN 46545-1469 Ph: (574) 335-4145

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Pediatrics Doctors in Mishawaka, IN

Nishaat Farooqui, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 611 E Douglas Rd Ste 401, Mishawaka, IN 46545 Phone: 574-335-6242
Marybeth Francis Mcclure, D0 Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1411 Lincoln Way W, Mishawaka, IN 46544 Phone: 574-259-5666
Dr. Franklin Moncrief Dobson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5215 Holy Cross Parkway, Mishawaka, IN 46545 Phone: 574-335-2309 Fax: 574-335-4146
Maryjo Meier, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 611 E Douglas Rd Ste 401, Mishawaka, IN 46545 Phone: 574-335-6242 Fax: 574-335-0758
Ismail Abbasi, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 5215 Holy Cross Pkwy, Mishawaka, IN 46545 Phone: 574-335-5000
Mary Evelyn Graber, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 611 E Douglas, Suite 309, Mishawaka, IN 46545 Phone: 574-252-2640 Fax: 574-252-2650

Dr Muhammad Shahzad Mumtaz Ansari, MD - Pediatrics in Mishawaka, IN