Individual provider Active NPI

Qaiser Abbas, MD

  • Internal Medicine Physician
  • Richmond Hill, NY
National Provider Identifier
1053371955
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
236725 Issued in NY
Practice address
12102 Hillside Ave
Richmond Hill, NY 11418-1812
Phone
(718) 850-1673
Fax
(718) 849-5133
NPI assigned
Mar 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 236725 NY Primary

Addresses

Primary practice location

12102 Hillside Ave
Richmond Hill, NY 11418-1812

Mailing address

12102 Hillside Ave
Richmond Hill, NY 11418-1812
Phone (718) 850-1673

Other identifiers 1

IdentifierTypeStateIssuer
02699109MedicaidNY

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
I20051130000382 NY Practitioner - Internal Medicine 4587684071 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meacham Medical Care PCGroup PAC ID 9436284064, 2 clinicians

Practice addresses (Care Compare)

26310 Hillside Ave
Glen Oaks, NY 11004-1736
Phone (718) 749-5921

374 Meacham Ave
Elmont, NY 11003-3221
Phone (516) 599-2383

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
236725NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Meacham Medical Care PC CurrentSince Jan 28, 2010 Accepting new patients
Qaiser Abbas Medical PC Internal Medicine CurrentSince Sep 25, 2014 Accepting new patients
Integrated Medicine, PC Internal Medicine Past Accepting new patients
Capital Pulmonary-Intensivist Physician, P.C. Internal Medicine PastSince Aug 15, 1999 Accepting new patients

Locations

374 Meacham Ave
Elmont, NY 11003
Phone (516) 599-2383

804 Meacham Ave
Elmont, NY 11003
Phone (516) 559-2383

26310 Hillside Ave
Glen Oaks, NY 11004
Phone (516) 599-2383

77 N Broadway
Hicksville, NY 11801
Phone (516) 605-0688

Networks

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

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1053371955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12102 HILLSIDE AVE",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114181812",
            "telephone_number": "718-850-1673",
            "fax_number": "718-849-5133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12102 HILLSIDE AVE",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114181812",
            "telephone_number": "718-850-1673",
            "fax_number": "718-849-5133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABBAS",
        "first_name": "QAISER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "236725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02699109",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond Hill, NY

Sources for this page

Verify at the official NPI Registry.