Organization Active NPI

Mohammed S. Qayyum, MD

  • Interventional Cardiology Physician
  • San Jose, CA
National Provider Identifier
1972972776
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
A56213 Issued in CA
Legal business name
MOHAMMED S. QAYYUM, MD
Practice address
2577 Samaritan Dr Ste 845
San Jose, CA 95124-4110
Phone
(408) 610-2001
Fax
(408) 610-3880
NPI assigned
Sep 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Authorized official

Name
Mrs. Kristi M Zamora
Title
Billing Manager
Phone
(510) 366-6353

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0011X A56213 CA Primary

Addresses

Primary practice location

2577 Samaritan Dr Ste 845
San Jose, CA 95124-4110

Mailing address

4585 Stevens Creek Blvd
Suite 101
Santa Clara, CA 95051-6700
Phone (408) 298-0433

National Provider Directory

National Provider Directory
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.

NPI Registry JSON

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

{
    "created_epoch": "1442880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779926400000",
    "number": "1972972776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4585 STEVENS CREEK BLVD",
            "address_2": "SUITE 101",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950516700",
            "telephone_number": "408-298-0433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2577 SAMARITAN DR STE 845",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951244110",
            "telephone_number": "408-610-2001",
            "fax_number": "408-610-3880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAMMED S. QAYYUM, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-22",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A",
        "authorized_official_last_name": "ZAMORA",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "510-366-6353",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "A56213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.