Active NPI
Maryam Qayum, MD
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Kingwood, TX
National Provider Identifier
1497814966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- K6250
- Practice address
- 22704 Loop 494 Ste E
Kingwood, TX 77339-2858 - Phone
- (832) 583-7264
- Fax
- (832) 583-7244
- NPI assigned
- Dec 8, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | K6250 | TX | |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | K6250 | TX | Primary |
Addresses
Primary practice location
22704 Loop 494 Ste E
Kingwood, TX 77339-2858
Mailing address
22704 Loop 494 Ste E
Kingwood, TX 77339-2858
Phone (832) 583-7264
Other practice location 1
201 Kingwood Medical Dr Ste A500
Kingwood, TX 77339-6014
Phone (832) 978-0448
Other practice location 2
21660 Kingsland Blvd Ste 200
Katy, TX 77450-2540
Phone (832) 978-0448
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1492701 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Hospital Systems LLC | Current | Accepting new patients | |
| Nejemie Alter, M.D., P.a. | Past | Accepting new patients | |
| Blue Zone Health Medical - Katy, PLLC | Past | Accepting new patients | |
| Texas Lymphedema Center LLC | Physical Medicine & Rehabilitation | Past | Accepting new patients |
| Blue Zone Precision Health Medical - Port Arthur, PLLC | Past | Accepting new patients | |
| Houston Imaging Associates PA | Past | Accepting new patients |
Locations
8901 FM 1960 Bypass Rd W
Ste 105
Humble, TX 77338
Phone (281) 592-5400
Organizations & group practices 6
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.
-
- General Acute Care Hospital
- Cleveland, TX
- NPI 1992172019
-
- Clinic/Center
- Katy, TX
- NPI 1144880592
-
- Clinic/Center
- Port Arthur, TX
- NPI 1437719754
-
- Radiology Clinic/Center
- Humble, TX
- NPI 1720241995
-
- Pediatric Hematology & Oncology Physician
- Corpus Christi, TX
- NPI 1477518611
-
- Physical Medicine & Rehabilitation Physician
- Sugar Land, TX
- NPI 1144357062
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652140800000",
"number": "1497814966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22704 LOOP 494 STE E",
"city": "KINGWOOD",
"state": "TX",
"postal_code": "773392858",
"telephone_number": "832-583-7264",
"fax_number": "832-583-7244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22704 LOOP 494 STE E",
"city": "KINGWOOD",
"state": "TX",
"postal_code": "773392858",
"telephone_number": "832-583-7264",
"fax_number": "832-583-7244"
}
],
"practiceLocations": [
{
"address_1": "201 Kingwood Medical Dr Ste A500",
"address_purpose": "LOCATION",
"city": "Kingwood",
"state": "TX",
"postal_code": "773396014",
"country_code": "US",
"telephone_number": "832-978-0448",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "21660 Kingsland Blvd Ste 200",
"address_purpose": "LOCATION",
"city": "Katy",
"state": "TX",
"postal_code": "774502540",
"country_code": "US",
"telephone_number": "832-978-0448",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "QAYUM",
"first_name": "MARYAM",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-08",
"last_updated": "2022-05-10",
"certification_date": "2022-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "TX",
"license": "K6250",
"primary": false
},
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "TX",
"license": "K6250",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1492701",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kingwood, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.