M. TAHIR QAYYUM, MD, PMC
NPI 1487821708
Clinic/Center in Bastrop, LA

Active since May 15, 2008
540 DURHAM STREET, BASTROP, LA 71220(318) 283-2200(318) 283-1200 Get Directions Write a Review

NPPES record last updated: October 13, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About M. Tahir Qayyum, Md, Pmc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

M. TAHIR QAYYUM, MD, PMC (NPI 1487821708), doing business as Family Medicine Center, is a healthcare organization registered as a clinic/center in Bastrop, Louisiana and active in the NPI registry since May 2008. The organization lists M. Tahir Qayyum, Owner, as its authorized official.

NPPES Registry Identity

NPI1487821708
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameM. TAHIR QAYYUM, MD, PMC
Location Address540 DURHAM STREETBastrop, LA 71220
Mailing Address540 Durham StBastrop, LA 71220-5013 · (318) 283-2200 · Fax (318) 283-1200
Fax(318) 283-1200
Organization SubpartNo
Authorized OfficialM. Tahir QayyumOwner · (318) 283-2200
Enumeration DateMay 15, 2008
Last NPPES UpdateOctober 13, 2025
NPPES CertifiedOctober 13, 2025
✔ NPI 1487821708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in LA · 10850R
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
540 DURHAM STREET, Bastrop, LA 71220

Other Names 1

Doing Business AsFamily Medicine Center

Other Identifiers 1

Medicaid1447111LA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

M. Tahir Qayyum, Md, Pmc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to M. Tahir Qayyum, MD, Pmc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1083714117
540 DURHAM ST
Bastrop, LA 71220
(318) 283-2200
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is M. Tahir Qayyum, MD, Pmc's NPI number?

The NPI number for M. Tahir Qayyum, MD, Pmc is 1487821708. It was assigned to this organization in the NPPES registry on May 15, 2008. The provider is doing business as Family Medicine Center.

Where is M. Tahir Qayyum, MD, Pmc located?

M. Tahir Qayyum, MD, Pmc is located at 540 Durham Street, Bastrop, LA 71220. The listed phone number is (318) 283-2200.

What is M. Tahir Qayyum, MD, Pmc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is M. Tahir Qayyum, MD, Pmc enrolled in Medicare?

Yes. M. Tahir Qayyum, MD, Pmc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through M. Tahir Qayyum, MD, Pmc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to M. Tahir Qayyum, MD, Pmc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does M. Tahir Qayyum, MD, Pmc accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan list M. Tahir Qayyum, MD, Pmc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for M. Tahir Qayyum, MD, Pmc was last updated on October 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.