NPIMap

Individual provider Active NPI

Mohammed Shahzad Qayyum, MD

  • Cardiovascular Disease Physician
  • San Jose, CA
National Provider Identifier
1679666994
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A56213 Issued in CA
Practice address
2550 Samaritan Dr
Suite D
San Jose, CA 95124-4104
Phone
(408) 610-2001
Fax
(408) 610-3880
NPI assigned
Sep 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X A56213 CA Primary

Addresses

Primary practice location

2550 Samaritan Dr
Suite D
San Jose, CA 95124-4104

Mailing address

2550 Samaritan Dr
Suite D
San Jose, CA 95124-4104
Phone (408) 610-2001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080605000590 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Peripheral Vascular DiseasePractitioner - Interventional Radiology 5991875791 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Interventional Radiology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mohammed S Qayyum MD IncGroup PAC ID 3476862780, 4 clinicians

Practice addresses (Care Compare)

2550 Samaritan Dr
Suite D
San Jose, CA 95124-4104
Phone (408) 610-2001

Hospital & facility affiliations

  • Good Samaritan Hospital Hospital, San Jose, CA, CCN 050380
  • Hazel Hawkins Memorial Hospital Hospital, Hollister, CA, CCN 051337
  • Santa Clara Valley Medical Center Hospital, San Jose, CA, CCN 050038
  • Stanford Health Care Hospital, Stanford, CA, CCN 050441
  • El Camino Health Hospital, Mountain View, CA, CCN 050308

Merit-based Incentive Payment System (MIPS)

Final score
88.95 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
63.17

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A56213CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mohammed S. Qayyum M.D. Inc CurrentSince Dec 15, 2015 Accepting new patients
Good Samaritan Hospital, L.P. Past Accepting new patients

Locations

2255 S Bascom Ave
Ste 200
Campbell, CA 95008
Phone (408) 376-3626

2577 Samaritan Dr
Ste 845
San Jose, CA 95124
Phone (408) 358-8507

2505 Samaritan Dr
Ste 205
San Jose, CA 95124
Phone (408) 358-2631

2550 Samaritan Dr
Ste D
San Jose, CA 95124
Phone (408) 358-2666

4585 Stevens Creek Blvd
Ste 101
Santa Clara, CA 95051
Phone (408) 298-0433

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JADIAD/Endpoint/JADIAD

Organizations & group practices 2

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.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1159574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1679666994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 SAMARITAN DR",
            "address_2": "SUITE 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": "SUITE D",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951244104",
            "telephone_number": "408-610-2001",
            "fax_number": "408-610-3880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QAYYUM",
        "first_name": "MOHAMMED",
        "middle_name": "SHAHZAD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-30",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A56213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.