Active NPI
Humza Bin Waheed, M.D.
- General Practice Physician
- Mexico, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 2015027597
- Practice address
- 340 Kelley Pkwy
Mexico, MO 65265-3811 - Phone
- (573) 582-1234
- Fax
- (573) 581-1981
- NPI assigned
- Jun 26, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 2015027597 | MO | Primary |
Addresses
Primary practice location
340 Kelley Pkwy
Mexico, MO 65265-3811
Mailing address
340 Kelley Pkwy
Mexico, MO 65265-3811
Phone (573) 582-1234
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689938524 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Saint Louis University School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
340 Kelley Pkwy
Mexico, MO 65265-3811
Phone (573) 582-1234
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2015027597 | MO | MD | General Practice Physician |
Interoperability endpoints
- humza.waheed@direct.arthurcenter.nextgenshare.com
Ownership & related parties
All facility ownership & control disclosures 2
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Arthur Center Behavioral Health | Federally qualified health center | Corporate Officer Operational/Managerial Control |
May 15, 2016 May 15, 2016 |
| Arthur Center Behavioral Health | Federally qualified health center | W-2 Managing Employee | Sep 24, 2015 |
Owned or controlled facilities with NPI records 2
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Federally Qualified Health Center (FQHC)
- Montgomery City, MO
- NPI 1376164699
W-2 Managing Employee
-
- Federally Qualified Health Center (FQHC)
- Fulton, MO
- NPI 1174008023
Corporate Officer, Operational/Managerial Control
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Mexico, MO
- NPI 1144293549
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Columbia, MO
- NPI 1902817844
-
- General Acute Care Hospital
- Jefferson City, MO
- NPI 1174597892
-
- General Acute Care Hospital
- Columbia, MO
- NPI 1699769901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705536000000",
"number": "1689938524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "340 KELLEY PKWY",
"city": "MEXICO",
"state": "MO",
"postal_code": "652653811",
"telephone_number": "573-582-1234",
"fax_number": "573-581-1981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 KELLEY PKWY",
"city": "MEXICO",
"state": "MO",
"postal_code": "652653811",
"telephone_number": "573-582-1234",
"fax_number": "573-581-1981"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAHEED",
"first_name": "HUMZA",
"middle_name": "BIN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-06-26",
"last_updated": "2024-01-18",
"certification_date": "2024-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "MO",
"license": "2015027597",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1689938524",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mexico, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.