Mohammed S. Qayyum M.D. Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

A56213 Issued in CA

Legal business name

MOHAMMED S. QAYYUM M.D. INC

Practice address

2550 Samaritan Dr
D
San Jose, CA 95124-4104

Phone

(408) 610-2001

Fax

(408) 610-3880

NPI assigned

Aug 25, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Mohammed S Qayyum, M.D.NPI 1679666994

Title

Owner

Phone

(408) 298-0433

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

Mohammed S Qayyum MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mohammed S. Qayyum, MD

  • Interventional Cardiology Physician
  • San Jose, CA
  • NPI 1972972776
  NPD tax ID

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mohammed Shahzad Qayyum, MD

  • Cardiovascular Disease Physician
  • San Jose, CA
  • NPI 1679666994
  Medicare reassignment Care Compare group NPD Authorized official
• Ethan H Daniels, MD

  • Interventional Cardiology Physician
  • Santa Clara, CA
  • NPI 1699852558
  Medicare reassignment Care Compare group NPD
• Bharat Ravishankar, MD

  • Interventional Cardiology Physician
  • San Jose, CA
  • NPI 1699271163
  Medicare reassignment Care Compare group NPD
• Dana M. Weisshaar, MD

  • Cardiovascular Disease Physician
  • Los Gatos, CA
  • NPI 1952475550
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1440460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487635200000",
    "number": "1649647736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 SAMARITAN DR",
            "address_2": "D",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951244104",
            "telephone_number": "408-610-2001",
            "fax_number": "408-610-3880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 SAMARITAN DR",
            "address_2": "D",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951244104",
            "telephone_number": "408-610-2001",
            "fax_number": "408-610-3880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAMMED S. QAYYUM M.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-25",
        "last_updated": "2017-02-21",
        "status": "A",
        "authorized_official_last_name": "QAYYUM",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-298-0433",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A56213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Faisal Abdul Mohammad, M.D.
• Shahida Yakoob Mohammad, M.D
• Sophia Mohammad, M.D.
• Mohammed Al-Temimi MD Inc
• Mohammed Faiz Ahmed M.D. Apc
• Mohammed S. Qayyum, MD
• Rachael Mohammed
• Shamun Mohammed
• Tasnim Jawhar Mohammed
• Akhila Mohan, MD

• Specialist in San Jose, CA
• Providers in San Jose, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.