Waqas Ghumman, M.D.
NPI 1619931516 · Advanced Heart Failure and Transplant Cardiology Physician · Atlantis, FL
Enrolled with Medicare as Practitioner - Cardiovascular Disease (cardiology) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Waqas Ghumman, M.D. is a Advanced Heart Failure and Transplant Cardiology Physician provider in Atlantis, FL (NPI 1619931516).
Provider details
- NPI number
- 1619931516
- Entity type
- Individual
- Primary specialty
- Advanced Heart Failure and Transplant Cardiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 01052070A (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
434 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 168 | $79 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 102 | $99 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 60 | $120 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 53 | $174 |
| Critical Care, First 30-74 Minutes99291 | 38 | $217 |
| New Patient Office Or Other Outpatient Visit With a High Level of Medical Decision Making, If Using Time, 60 Minutes Or More99205 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 28 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Spironolactone | 99 | 39 |
| Tafamidisbrand: Vyndamax | 75 | — |
| Sacubitril/Valsartanbrand: Entresto | 74 | 25 |
| Empagliflozinbrand: Jardiance | 73 | 17 |
| Metoprolol Succinate | 68 | 23 |
| Carvedilol | 64 | 22 |
| Atorvastatin Calcium |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$34,244 across 82 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-04-17
- Last updated
- 2022-02-10
Frequently asked questions
- What is Waqas Ghumman's NPI number?
- Waqas Ghumman's National Provider Identifier (NPI) is 1619931516, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Waqas Ghumman's specialty?
- Waqas Ghumman is listed in the NPPES registry with a primary specialty of Advanced Heart Failure and Transplant Cardiology Physician (Allopathic & Osteopathic Physicians).
- Where is Waqas Ghumman located?
- Waqas Ghumman's practice location on file with NPPES is 180 Jfk Dr, Atlantis, FL 33462-6641.
- What is Waqas Ghumman's phone number?
- The practice phone number listed in the NPPES registry for Waqas Ghumman is (561) 548-4900.
- Does Waqas Ghumman accept Medicare?
- Waqas Ghumman is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Waqas Ghumman's NPI active?
- Yes — Waqas Ghumman's NPI (1619931516) is active in the NPPES registry as of the last update on 2022-02-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.