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

Syed R. Mumtaz, MD

Individual provider Child & Adolescent Psychiatry Physician · NPI 1396718573

Syed R. Mumtaz, MD is a Psychiatry in Fort Wayne, Indiana. Qualified in 1983, 43 years ago. Practices with Hospital Care Group PC, a 30-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
43
Licensed in
IN
In the registry since
2006
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

909 E State Blvd
Fort Wayne, IN 46805-3404
Phone: (260) 481-2700
Fax: (260) 481-2717
Show map & directions

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

Specialties & licences

Child & Adolescent Psychiatry Physician (primary) Taxonomy 2084P0804X · Licence 01049582A (IN)

Record details

NPI number1396718573
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 9, 2006
Last updated in NPPESApril 23, 2012

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 1983 (43 years in practice)
Group practice Hospital Care Group Pc — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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