Individual provider Active NPI

Azra Wiqas, MD

  • Internal Medicine Physician
  • Queens Village, NY
National Provider Identifier
1033210646
Registry record updated Jul 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
214896 Issued in NY
Practice address
8602 Musket St
Queens Village, NY 11427-2718
Phone
(718) 776-0555
Fax
(718) 776-7271
NPI assigned
Sep 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 214896 NY Primary

Addresses

Primary practice location

8602 Musket St
Queens Village, NY 11427-2718

Mailing address

25915 E Williston Ave
Floral Park, NY 11001-1039
Phone (718) 776-0555

Other identifiers 1

IdentifierTypeStateIssuer
02056100MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20060501000172 NY Practitioner - Internal Medicine 7315957875 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

2001 Marcus Ave
S160
New Hyde Park, NY 11042-1011
Phone (516) 200-5600

8602 Musket St
Queens Village, NY 11427-2718
Phone (718) 776-0555

Hospital & facility affiliations

  • North Shore University Hospital Hospital, Manhasset, NY, CCN 330106

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Bellerose Medicalcare P.C. Internal Medicine CurrentSince Jan 1, 2006 Accepting new patients
North Shore-Lij Medical PC Internal Medicine CurrentSince Mar 1, 2020 Accepting new patients
North Shore - Lij Medical PC Internal Medicine CurrentSince Mar 1, 2020 Accepting new patients
Premier Cardiology Consultants, PLLC Past Accepting new patients
CMC Housestaff Past Accepting new patients

Locations

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

1554 Northern Blvd
Manhasset, NY 11030
Phone (516) 390-9242

2001 Marcus Ave
Ste S160
New Hyde Park, NY 11042
Phone (516) 200-5600

300 Community Dr
Plandome, NY 11030

8602 Musket St
Queens Village, NY 11427
Phone (718) 464-6477

9525 Queens Blvd
Ste 1
Rego Park, NY 11374
Phone (718) 558-6200

972 Brush Hollow Rd
Westbury, NY 11590

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: azrawiqas@1473.mdlanddirect.com
  • Direct secure messaging: azrawiqas@nslijmedgr.allscriptsdirect.net

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247529600000",
    "number": "1033210646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25915 E WILLISTON AVE",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110011039",
            "telephone_number": "718-776-0555",
            "fax_number": "718-776-7271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8602 MUSKET ST",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114272718",
            "telephone_number": "718-776-0555",
            "fax_number": "718-776-7271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIQAS",
        "first_name": "AZRA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2009-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "214896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02056100",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Queens Village, NY

Sources for this page

Verify at the official NPI Registry.