Active NPI
Humayun Anjum, M.D.
- Critical Care Medicine (Internal Medicine) Physician
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- Q1351
- Practice address
- 221 W Colorado Blvd Ste 525
Dallas, TX 75208-2312 - Phone
- (214) 960-5681
- NPI assigned
- Mar 28, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | Q1351 | TX | Primary |
| Pulmonary Disease Physician | 207RP1001X | Q1351 | TX |
Addresses
Primary practice location
221 W Colorado Blvd Ste 525
Dallas, TX 75208-2312
Mailing address
PO Box 271129
Corpus Christi, TX 78427-1129
Phone (361) 885-7722
Other practice location 1
701 Ayers St
Corpus Christi, TX 78404-1912
Phone (361) 885-7722
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
221 W Colorado Blvd
Suite 525
Dallas, TX 75208-2312
Phone 214960568175
Hospital & facility affiliations
- Baylor Scott & White Medical Center Grapevine
- Medical City Lewisville
- Paris Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95472 | CA | MD | Clinical Social Worker |
| Q1351 | TX | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PRMC Healthcare Group Inc | Current | Accepting new patients | |
| PRMC Healthcare Group Inc | Current | Accepting new patients | |
| Dallas Pulmonary & Critical Care PA | Critical Care Medicine | Current | Accepting new patients |
Locations
221 W Colorado Blvd
Ste 525
Dallas, TX 75208
Phone (214) 956-4525
5605 N MacArthur Blvd
Ste 740
Irving, TX 75038
Phone 2149605681 ext. 75
2850 Lewis Ln
Ste 109
Paris, TX 75460
Phone (903) 737-1623
2870 Lewis Ln
Ste 220
Paris, TX 75460
Phone (903) 739-7830
Interoperability endpoints
- https://api.platform.athenahealth.com/fhir/r4
- humayun.anjum@hca9.eclinicaldirectplus.com
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 and National Provider Directory roles.
-
- Critical Care Medicine (Internal Medicine) Physician
- Dallas, TX
- NPI 1235402728
-
- General Practice Physician
- Paris, TX
- NPI 1457514648
-
- Pulmonary Disease Physician
- Grapevine, TX
- NPI 1629553375
-
- Rural Health Clinic/Center
- Clarksville, TX
- NPI 1841808763
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Grapevine, TX
- NPI 1073511762
-
- General Acute Care Hospital
- Lewisville, TX
- NPI 1255384533
-
- General Acute Care Hospital
- Paris, TX
- NPI 1063411767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690502400000",
"number": "1104945773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 271129",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784271129",
"telephone_number": "361-885-7722",
"fax_number": "361-885-7792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 W COLORADO BLVD STE 525",
"city": "DALLAS",
"state": "TX",
"postal_code": "752082312",
"telephone_number": "214-960-5681"
}
],
"practiceLocations": [
{
"address_1": "701 Ayers St",
"address_purpose": "LOCATION",
"city": "Corpus Christi",
"state": "TX",
"postal_code": "784041912",
"country_code": "US",
"telephone_number": "361-885-7722",
"fax_number": "361-885-7792",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANJUM",
"first_name": "HUMAYUN",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-28",
"last_updated": "2023-07-28",
"certification_date": "2023-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "TX",
"license": "Q1351",
"primary": true
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "TX",
"license": "Q1351",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.