Individual provider Active NPI

Maryam Qayum, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Kingwood, TX
National Provider Identifier
1497814966
Registry record updated May 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
K6250 Issued in TX
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

Updated by the provider on May 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1492701MedicaidTX

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

OrganizationSpecialtyStatusNew patients
Emergency Hospital Systems LLC CurrentSince Apr 25, 2018 Accepting new patients
Nejemie Alter, M.D., P.a. Past Accepting new patients
Blue Zone Health Medical - Katy, PLLC PastSince May 1, 2021 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.

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.

Verify at the official NPI Registry.