Active NPI
Qualinova Care Inc
- Hospitalist Physician
- Washington, DC
National Provider Identifier
1043783905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- Legal business name
- QUALINOVA CARE INC
- Practice address
- 1310 Southern Ave SE
Washington, DC 20032-4623 - Phone
- (202) 574-6000
- NPI assigned
- Jan 3, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ismael Yussuf, MD
- Title
- Ceo
- Phone
- (616) 821-8972
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | Primary |
Addresses
Primary practice location
1310 Southern Ave SE
Washington, DC 20032-4623
Mailing address
10501 Storch Dr
Lanham, MD 20706-2185
Phone (616) 821-8972
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD042473 | Other | DC | DC DEPARTMENT OF HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546473600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1546473600000",
"number": "1043783905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10501 STORCH DR",
"city": "LANHAM",
"state": "MD",
"postal_code": "207062185",
"telephone_number": "616-821-8972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1310 SOUTHERN AVE SE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200324623",
"telephone_number": "202-574-6000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QUALINOVA CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2019-01-03",
"last_updated": "2019-01-03",
"status": "A",
"authorized_official_last_name": "YUSSUF",
"authorized_official_first_name": "ISMAEL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "616-821-8972",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Hospitalist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DC DEPARTMENT OF HEALTH",
"identifier": "MD042473",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.