Dr Jibran Qayumi, DPT in Holly Springs, NC - Medicare Physical Therapist Provider

Dr Jibran Qayumi, DPT is a medicare enrolled "Physical Therapist" provider in Holly Springs, North Carolina. His current practice location is 204 Matthews Drive, Holly Springs, North Carolina. You can reach out to his office (for appointments etc.) via phone at (919) 578-4200.

Dr Jibran Qayumi is licensed to practice in North Carolina (license number P17194) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1043748957.

Contact Information

	Dr Jibran Qayumi, DPT
	204 Matthews Drive, Holly Springs, NC 27540
	(919) 578-4200
	(919) 578-9922

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jibran Qayumi
Gender	Male
Speciality	Physical Therapist
Location	204 Matthews Drive, Holly Springs, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043748957
Provider Enumeration Date: 05/23/2017
Last Update Date: 08/10/2025

Medicare PECOS Information:

PECOS PAC ID: 3476932542
Enrollment ID: I20220621000071

Medical Identifiers

Medical identifiers for Dr Jibran Qayumi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043748957	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	P17194 (North Carolina)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Jibran Qayumi allows following entities to bill medicare on his behalf.

Provider Name	Mediq Physical Therapy
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1801561741 PECOS PAC ID: 2567841638 Enrollment ID: O20220621000039

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jibran Qayumi is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Jibran Qayumi, DPT 204 Matthews Dr, Holly Springs, NC 27540-4302 Ph: (919) 578-4200	Dr Jibran Qayumi, DPT 204 Matthews Drive, Holly Springs, NC 27540 Ph: (919) 578-4200

Reviews and Comments

Physical Therapist in Holly Springs, NC

Vishwa Bhargav Bhalodia, PHYSICAL THERAPIST Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 500 Village Walk Dr, Holly Springs, NC 27540 Phone: 919-258-2200
Mr. Douglas Dennis Frie, MAPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 101 Bryce Meadow Dr, Holly Springs, NC 27540 Phone: 919-267-3114
Sean Thomas Nixon, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 500 Village Walk Dr, Holly Springs, NC 27540 Phone: 919-258-2200
Mrs. Kelly Ommundsen, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4302 Osage Dr, Holly Springs, NC 27540 Phone: 609-213-3059
Mrs. Courtney Fortune Davis, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6213 Hilbert Ridge Dr, Holly Springs, NC 27540 Phone: 252-341-3392
Margaret Wells, Physical Therapist Medicare: Medicare Enrolled Practice Location: 851 S Main St, Holly Springs, NC 27540 Phone: 919-467-4992

Dr Jibran Qayumi, DPT - Medicare Physical Therapist in Holly Springs, NC