| Muhammad Ahmad Mujtaba, MD | |
|
550 University Blvd, Uh2180, Indianapolis, IN 46202-5149 | |
| (317) 274-4370 | |
| (317) 274-0346 |
| Full Name | Muhammad Ahmad Mujtaba |
|---|---|
| Gender | Male |
| Speciality | Nephrology |
| Experience | 27 Years |
| Location | 550 University Blvd, Indianapolis, Indiana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740426592 | NPI | - | NPPES |
| 200963090 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RN0300X | Internal Medicine - Nephrology | 01066894A (Indiana) | Primary |
| 207RN0300X | Internal Medicine - Nephrology | R0622 (Texas) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Space City Dialysis Center Llc | Texas city, TX | Dialysis facility |
| Memorial Hermann Hospital System | Houston, TX | Hospital |
| University Of Texas Medical Branch Galveston | Galveston, TX | Hospital |
| Hca Houston Healthcare Clear Lake | Webster, TX | Hospital |
| Christus Southeast Texas- St Elizabeth | Beaumont, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Jajja Health Pllc | 0941745632 | 2 |
| Select Physical Therapy Texas Limited Partnership | 6608868070 | 466 |
| Entity Name | Utmb Faculty Group Practice |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942241146 PECOS PAC ID: 3375456734 Enrollment ID: O20031112000438 |
| Entity Name | Titus County Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063548881 PECOS PAC ID: 0143203257 Enrollment ID: O20120525000534 |
| Entity Name | Excellence Emergency Hospital Physician Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972223675 PECOS PAC ID: 4284001280 Enrollment ID: O20221103003033 |
| Entity Name | Jajja Health Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982449492 PECOS PAC ID: 0941745632 Enrollment ID: O20240717004697 |
| Mailing Address | Practice Location Address |
|---|---|
| Muhammad Ahmad Mujtaba, MD 250 N Shadeland Ave Ste 200, Indianapolis, IN 46219-4959 Ph: (317) 274-4402 | Muhammad Ahmad Mujtaba, MD 550 University Blvd, Uh2180, Indianapolis, IN 46202-5149 Ph: (317) 274-4370 |
Irene A Carrothers, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1701 Senate Blvd, Indianapolis, IN 46202 Phone: 317-963-8776 Fax: 317-963-5285 | |
Liam P Howley, MD Nephrology Medicare: Medicare Enrolled Practice Location: 1001 West 10th St Opw-m200, Indiana University Department Of Medicine, Indianapolis, IN 46202 Phone: 317-630-6560 | |
Dr. Satish Kenchaiah, MD, MPH Nephrology Medicare: Medicare Enrolled Practice Location: 1481 W 10th St, Indianapolis, IN 46202 Phone: 317-988-4989 | |
Gretchen Suarez, Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1120 W Michigan St, Indianapolis, IN 46202 Phone: 317-278-0042 Fax: 317-278-0027 | |
Cristina Nancy Perez Chumbiauca, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 550 University Blvd, Indianapolis, IN 46202 Phone: 317-944-5000 | |
Dr. Andrew Jonathen Ortega, DO Nephrology Medicare: Medicare Enrolled Practice Location: 702 Rotary Cir, Indianapolis, IN 46202 Phone: 317-278-4427 | |
Dr. Omair Ahmad Syed, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 640 Eskenazi Ave # F2-600, Indianapolis, IN 46202 Phone: 317-278-5570 |