Individual provider Active NPI

Zainab S Qayumi, M.D

  • Pediatrics Physician
  • Eden, NC
National Provider Identifier
1053676742
Registry record updated Aug 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
2015-01884 Issued in NC
Practice address
509 S Van Buren Rd
Suite B
Eden, NC 27288-5082
Phone
(336) 627-5437
Fax
(336) 627-1681
NPI assigned
Jul 9, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 2015-01884 NC Primary

Addresses

Primary practice location

509 S Van Buren Rd
Suite B
Eden, NC 27288-5082

Mailing address

509 S Van Buren Rd
Suite B
Eden, NC 27288-5082
Phone (336) 627-5437

Other names 1

  • Zainab Burhanpurwala Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20160121001659 NC Practitioner - Pediatric Medicine 9830492016 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mediq Urgent Care PC CurrentSince Jan 25, 2016 Accepting new patients
Mediq Urgent Care PC CurrentSince Jan 25, 2016 Accepting new patients

Locations

5718 W Gate City Blvd
Greensboro, NC 27407
Phone (336) 738-1691

1912 Eastchester Dr
Ste 302
High Point, NC 27265
Phone (336) 438-2260

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1341792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440633600000",
    "number": "1053676742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 S VAN BUREN RD",
            "address_2": "SUITE B",
            "city": "EDEN",
            "state": "NC",
            "postal_code": "272885082",
            "telephone_number": "336-627-5437",
            "fax_number": "336-627-1681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 S VAN BUREN RD",
            "address_2": "SUITE B",
            "city": "EDEN",
            "state": "NC",
            "postal_code": "272885082",
            "telephone_number": "336-627-5437",
            "fax_number": "336-627-1681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QAYUMI",
        "first_name": "ZAINAB",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-09",
        "last_updated": "2015-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2015-01884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ZAINAB",
            "last_name": "BURHANPURWALA",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Eden, NC

Sources for this page

Verify at the official NPI Registry.