DR. AZZAM MUFTAH M.D. NPI 1417918988

NPI Information

  • NPI: 1417918988
  • Provider Name: DR. AZZAM MUFTAH, M.D.
  • Classification: Internal Medicine - 207RG0100X
  • Specialization: Gastroenterology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • CLIA Number: 10D2310859
  • Address: 15205 CORTEZ BLVD
    BROOKSVILLE, FL
    ZIP 34613
  • Phone: (352) 597-7744

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NPI Details

DR. Azzam Muftah, M.D. is a gastroenterology internal medicine in Brooksville, FL with 39 years of experience. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. DR. Azzam Muftah, M.D. NPI is 1417918988. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

15205 CORTEZ BLVD
BROOKSVILLE, FL
ZIP 34613-072
Phone: (352) 597-7744
Fax: (352) 597-7797

The NPI 1417918988 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 10D2310859 - physician office with a certificate type of Certificate of Compliance.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • Removal of external hemorrhoids by rubber banding (HCPCS:46221)
  • Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
  • Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm (HCPCS:43249)
  • Imaging of digestive tract done from the inside of the digestive tract (HCPCS:91110)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)
  • Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare (HCPCS:43251)
  • Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
  • Banding of hemorrhoids using a flexible endoscope (colonoscope) (HCPCS:45398)
  • Dilation of esophagus (HCPCS:43450)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Colonoscopy (HCPCS:NAN13)
  • Upper gastrointestinal (GI) endoscopy for acid reflux (HCPCS:NAN12)

The enumeration date for this NPI number is 3/31/2006 and was last updated on 5/1/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RG0100XInternal MedicineGastroenterologyME68485FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
116328OTHERFLORIDAWELLCARE
2219941OTHERFLORIDAAVMED
328978OTHERFLORIDABLUE CROSS BLUE SHIELD
46013192OTHERFLORIDAGHI
5100014202OTHERFLORIDAMEDICARE RAILROAD
6250149000MEDICAIDFLORIDA
75825117OTHERFLORIDAAETNA
8593570847OTHERFLORIDAPROVIDER ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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