Tamim Qaum, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

31720 Issued in KS

Practice address

1947 Founders St
Wichita, KS 67206-3548

Phone

(316) 858-2020

Fax

(316) 858-2025

NPI assigned

Jun 9, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WV

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Martinsburg Eye Associates PLLC

  • Ophthalmology Physician
  • Martinsburg, WV
  • NPI 1467538967
  Medicare reassignment NPD
• Cumberland Valley Retina Consultants PC

  • Retina Specialist (Ophthalmology) Physician
  • Hagerstown, MD
  • NPI 1467429647
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184284800000",
    "number": "1609817022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8035",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672080035",
            "telephone_number": "316-689-9135",
            "fax_number": "316-689-9102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1947 FOUNDERS ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063548",
            "telephone_number": "316-858-2020",
            "fax_number": "316-858-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QAUM",
        "first_name": "TAMIM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2007-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KS",
            "license": "31720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "105479",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kyeri Pyon
• Phog Allen Charles Pywell, PHARMD
• Pyxis Inc
• Ahmad Qaddour, M.D.
• Stephanie A. Qasim, PA-C
• Jessica Ann Quade
• Barbara Jane Quadlander, D.C.
• Syeda Quadri, MD
• Emmilee Qualls
• Peyton Quandt

• Ophthalmology Physician in Wichita, KS
• Providers in Wichita, KS by specialty
• Ophthalmology Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; 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.

Verify at the official NPI Registry.