Individual provider Active NPI

Erum Qayum, MD

  • Family Medicine Physician
  • Columbus, OH
National Provider Identifier
1548345267
Registry record updated Nov 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35-08-5100 Issued in OH
Practice address
2880 Stelzer Rd
Columbus, OH 43219-3133
Phone
(614) 472-2880
Fax
(614) 472-2881
NPI assigned
Oct 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35-08-5100 OH Primary

Addresses

Primary practice location

2880 Stelzer Rd
Columbus, OH 43219-3133

Mailing address

2601 Mission Point Blvd
Suite 100
Beavercreek, OH 45431-6600
Phone (937) 912-4441

Other identifiers 1

IdentifierTypeStateIssuer
2542967MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20050331000513 OH Practitioner - Family Practice 1052368214 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
State of Ohio Office of Budget and Management State Accounting CurrentSince Jul 1, 2014 Accepting new patients
State of Ohio Office of Budget and Management State Accounting Current Accepting new patients
State of Ohio Office of Budget and Management State Accounting CurrentSince Jul 1, 2014 Accepting new patients

Locations

30 E Broad St
Fl 11
Columbus, OH 43215
Phone (614) 466-9930

2200 W Broad St
Columbus, OH 43223

Interoperability endpoints

  • Direct secure messaging: eqayum20822@mhas.direct-ci.com

Organizations & group practices 3

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": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353974400000",
    "number": "1548345267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 MISSION POINT BLVD",
            "address_2": "SUITE 100",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454316600",
            "telephone_number": "937-912-4441",
            "fax_number": "937-429-4236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2880 STELZER RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432193133",
            "telephone_number": "614-472-2880",
            "fax_number": "614-472-2881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QAYUM",
        "first_name": "ERUM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2012-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35-08-5100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2542967",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.