Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tahir M Qayyum, MD

Individual provider Family Medicine Physician · NPI 1083714117

Tahir M Qayyum, MD is a Family Practice in Bastrop, Louisiana. Graduated from Icahn School of Medicine at Mount Sinai in 1994, 32 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Louisiana.

Years since qualifying
32
Trained at
Icahn School of Medicine at Mount Sinai
Licensed in
LA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

540 Durham St
Bastrop, LA 71220-5013
Phone: (318) 283-2200
Fax: (318) 283-1200
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 10850R (LA)

Record details

NPI number1083714117
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 25, 2006
Last updated in NPPESOctober 13, 2025
Certification dateOctober 13, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Graduated 1994 (32 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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