Qaisar Qayyum, M.D.

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

21912 Issued in OK

Practice address

13974 S Broadway
Edmond, OK 73034-8144

Phone

(405) 562-8715

Fax

(405) 562-8717

NPI assigned

Jun 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

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

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: qqayyum@yourcarecommunity.org

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.

• Midwest Hospitalist Group PLLC

  • Internal Medicine Physician
  • Edmond, OK
  • NPI 1376011478
  Medicare reassignment NPD
• Geriatric Medical Services Inc.

  • Clinic/Center
  • Oklahoma City, OK
  • NPI 1356373815
  NPD (past)
• Inpatient Consultants of Texas, PLLC

  • Hospitalist Physician
  • Edmond, OK
  • NPI 1144274655

  Internal Medicine

  NPD (past)
• Summit Medical Center

  • General Acute Care Hospital
  • Edmond, OK
  • NPI 1356574560
  NPD (past)
• Apogee Medical Group Oklahoma Inc

  • Hospitalist Physician
  • Scottsdale, AZ
  • NPI 1215192307
  NPD (past)

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592784000000",
    "number": "1720025448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31195",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730030020",
            "telephone_number": "405-562-8715",
            "fax_number": "405-562-8717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13974 S BROADWAY",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730348144",
            "telephone_number": "405-562-8715",
            "fax_number": "405-562-8717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QAYYUM",
        "first_name": "QAISAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "21912",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "OK",
            "license": "21912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100063090A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lyndi Marie Purkey, LPC, M.A.
• Amber Dawn Purvine, PA-C
• Caitlyn Puryear
• Puzzle Peace Counseling, Inc
• Qaisar J Qayyum MD, PC
• Qclinic LLC
• Guizhen Qi
• Quail Springs Counseling PLLC
• Qualgen, LLC
• Qualgen, LLC

• Geriatric Medicine (Internal Medicine) Physician in Edmond, OK
• Providers in Edmond, OK by specialty
• Geriatric Medicine (Internal Medicine) Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2020; 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.