Individual provider Active NPI

Syed Q Kazmi, MD

  • Physical Medicine & Rehabilitation Physician
  • Round Rock, TX
National Provider Identifier
1043256399
Registry record updated Sep 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
R6590 Issued in TX
Practice address
1400 Hesters Crossing Rd
Round Rock, TX 78681-8025
Phone
(207) 829-6009
Fax
(207) 829-6022
NPI assigned
Jun 22, 2006
Last updated
Sep 30, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X R6590 TX Primary

Addresses

Primary practice location

1400 Hesters Crossing Rd
Round Rock, TX 78681-8025

Mailing address

335 Brighton Ave
Portland, ME 04102-2363
Phone (207) 829-6009

Other identifiers 4

IdentifierTypeStateIssuer
339350099MedicaidME
1042306OtherMEAETNA
M109871OtherMECIGNA
030294OtherMEANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110118001314 ME Practitioner - Physical Medicine and Rehabilitation 5395934673
I20180719001275 TX Practitioner - Physical Medicine and Rehabilitation 5395934673 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greater Austin Rehab Physicians PLLCGroup PAC ID 8921362575, 9 clinicians

Practice addresses (Care Compare)

4681 College Park Dr
Round Rock, TX 78665-1526
Phone (737) 808-4549

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Austin Rehab Physicians PLLC Physical Medicine & Rehabilitation CurrentSince Jul 1, 2025 Accepting new patients
Encompass Health Rehabilitation Hospital of Round Rock, LLC Past Accepting new patients
Mary a. Gonzales, M.D., P.a. Physical Medicine & Rehabilitation Past Accepting new patients

Locations

919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466

1400 Hesters Crossing Rd
Round Rock, TX 78681
Phone (207) 332-4730

4681 College Park Dr
Round Rock, TX 78665
Phone (512) 671-1100

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569801600000",
    "number": "1043256399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 BRIGHTON AVE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022363",
            "telephone_number": "207-829-6009",
            "fax_number": "207-829-6022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 HESTERS CROSSING RD",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786818025",
            "telephone_number": "207-829-6009",
            "fax_number": "207-829-6022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAZMI",
        "first_name": "SYED",
        "middle_name": "Q",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2019-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "R6590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "339350099",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1042306",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "M109871",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "030294",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

Verify at the official NPI Registry.