Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Muhammad Shahzad Mumtaz Ansari, MD

Individual provider Neonatal-Perinatal Medicine Physician · NPI 1184937245

Dr. Muhammad Shahzad Mumtaz Ansari, MD is a Pediatric Medicine in Mishawaka, Indiana. Qualified in 2003, 23 years ago. Licensed in Illinois, Indiana and Wisconsin.

Years since qualifying
23
Licensed in
IL, IN, WI
In the registry since
2010
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5215 Holy Cross Pkwy
Mishawaka, IN 46545-1469
Phone: (574) 335-4145
Fax: (574) 335-4146
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 01076678A (IN)
Neonatal-Perinatal Medicine Physician Taxonomy 2080N0001X · Licence 82081-20 (WI)
Pediatrics Physician Taxonomy 208000000X · Licence 036132394 (IL)

Record details

NPI number1184937245
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 19, 2010
Last updated in NPPESJanuary 13, 2026
Certification dateJanuary 13, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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