Active NPI
Umm-E-Kulsoom Kazmi, MD
- Psychiatry Physician
- Baytown, TX
National Provider Identifier
1376065185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- T2647
- Practice address
- 4301 Garth Rd Ste 302
Baytown, TX 77521-3158 - Phone
- (832) 548-5000
- NPI assigned
- Jul 13, 2017
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | T2647 | TX | |
| Psychiatry Physician | 2084P0800X | T2647 | TX | Primary |
Addresses
Primary practice location
4301 Garth Rd Ste 302
Baytown, TX 77521-3158
Mailing address
4301 Garth Rd Ste 302
Baytown, TX 77521-3158
Phone (281) 420-8400
Other practice location 1
611 West Park Street
Carle Forum - Lower Level, MC-474
urbana, IL 61801-6180
Phone (217) 383-4615
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T2647 | TX | MD | Psychiatry Physician |
Organizations & group practices 1
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.
-
- Federally Qualified Health Center (FQHC)
- Houston, TX
- NPI 1679524961
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666828800000",
"number": "1376065185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4301 GARTH RD STE 302",
"city": "BAYTOWN",
"state": "TX",
"postal_code": "775213158",
"telephone_number": "281-420-8400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4301 GARTH RD STE 302",
"city": "BAYTOWN",
"state": "TX",
"postal_code": "775213158",
"telephone_number": "832-548-5000"
}
],
"practiceLocations": [
{
"address_1": "611 West Park Street",
"address_2": "Carle Forum - Lower Level, MC-474",
"address_purpose": "LOCATION",
"city": "urbana",
"state": "IL",
"postal_code": "618016180",
"country_code": "US",
"telephone_number": "217-383-4615",
"fax_number": "217-383-4615",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KAZMI",
"first_name": "UMM-E-KULSOOM",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-13",
"last_updated": "2022-10-27",
"certification_date": "2022-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "TX",
"license": "T2647",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "T2647",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baytown, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.