Individual provider Active NPI

Quazi Asraf Mostufa, MD

  • Internal Medicine Physician
  • Quincy, IL
National Provider Identifier
1083137897
Registry record updated Jul 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036152068 Issued in IL
Practice address
1005 Broadway St
Quincy, IL 62301-2834
Phone
(217) 223-8400
NPI assigned
Jul 24, 2017
Last updated
Jul 28, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D97656 MD
Internal Medicine Physician 207R00000X 036152068 IL Primary
Hospitalist Physician 208M00000X 036152068 IL

Addresses

Primary practice location

1005 Broadway St
Quincy, IL 62301-2834

Mailing address

1005 Broadway St
Quincy, IL 62301-2834
Phone (217) 223-8400

Other practice location 1

1545 Atlantic Ave
Brooklyn, NY 11213-1122
Phone (718) 613-4000

Other practice location 2

11116 Medical Campus Rd
Hagerstown, MD 21742-6710
Phone (301) 790-8804

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MD, PA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20200915002742 IL Practitioner - Internal Medicine 7719231034 Reassigns benefits to 2 organizations
I20230809004249 MD Practitioner - Internal Medicine 7719231034 Reassigns benefits to 3 organizations
I20240125002016 PA Practitioner - Internal Medicine 7719231034 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meritus Medical Center IncGroup PAC ID 7113811795, 730 clinicians
Greater Baltimore Medical CenterGroup PAC ID 1759276975, 350 clinicians
Upmc AltoonaGroup PAC ID 8426962465, 126 clinicians

Practice addresses (Care Compare)

11116 Medical Campus Rd
Hagerstown, MD 21742-6710
Phone (301) 790-8000

3701 N Charles St
South Chapman Building Suite 102
Towson, MD 21204-6808

620 Howard Ave
Altoona, PA 16601-4804
Phone (814) 889-2866

6565 N Charles St
Baltimore, MD 21204-5805

6565 N Charles St
Baltimore, MD 21204-6808

6565 N Charles Street
201 Pulmonary Medicine at GBMC
Baltimore, MD 21204-5805
Phone (443) 849-3901

6569 N Charles St
Suite 505
Baltimore, MD 21204-6808
Phone (443) 849-2658

6569 N Charles St PPW Room
307 GYN Specialists
Baltimore, MD 21204-6808
Phone (443) 849-6123

6569 N Charles Street
504 Hoover Low Vision GBMC
Baltimore, MD 21204-6808
Phone (443) 849-2658

6701 N Charles St
Baltamore, MD 21204-6808

6701 N Charles St BLDG
S Chapman BLDG Suite 102
Baltimore, MD 21204-6808

6701 N Charles St Unit
Baltimore, MD 21204-6808
Phone (443) 849-3131

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Macoupin Physician Services, PC Internal Medicine CurrentSince Mar 20, 2023 Accepting new patients
Upmc Altoona CurrentSince Dec 25, 2023 Accepting new patients
Meritus Medical Center Inc CurrentSince Aug 1, 2023 Accepting new patients
Meritus Medical Center Inc Current Accepting new patients
Greater Baltimore Medical Center, Inc. Internal Medicine CurrentSince Dec 8, 2024 Accepting new patients
24 On Physicians, PC Hospitalist CurrentSince May 9, 2023 Accepting new patients
Upmc Altoona CurrentSince Dec 25, 2023 Accepting new patients
Greater Baltimore Medical Center, Inc. CurrentSince Dec 8, 2024 Accepting new patients
Apogee Medical Group of Pennsylvania PC Internal Medicine CurrentSince Jul 1, 2024 Accepting new patients
Apogee Medical Group of Pennsylvania PC Internal Medicine CurrentSince Jul 1, 2024 Accepting new patients
Meritus Medical Center Inc CurrentSince Aug 1, 2023 Accepting new patients
24 On Physicians, P.C. Hospitalist CurrentSince May 9, 2023 Accepting new patients
Greater Baltimore Medical Center, Inc Current Accepting new patients

Locations

405 W Jackson St
Carbondale, IL 62901

20733 N Broad St
Carlinville, IL 62626
Phone (217) 854-3141

201 S 14th St
Herrin, IL 62948
Phone (618) 942-2171

1100 E Norris Dr
Ottawa, IL 61350
Phone (815) 416-1224

11116 Medical Campus Rd
Hagerstown, MD 21742
Phone (301) 766-7600

6565 N Charles St
Ste 203
Towson, MD 21204
Phone (410) 828-3760

620 Howard Ave
Altoona, PA 16601
Phone (814) 889-2011

100 Hospital Ave
Dubois, PA 15801
Phone (814) 375-2040

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

Interoperability endpoints

  • Direct secure messaging: qmostufa516794@upmc.direct-ci.com
  • Direct secure messaging: qmostufa70050@sih.direct-ci.com

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

Hospital & facility affiliations 6

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": "1500854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690502400000",
    "number": "1083137897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 BROADWAY ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623012834",
            "telephone_number": "217-223-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 BROADWAY ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623012834",
            "telephone_number": "217-223-8400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1545 Atlantic Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112131122",
            "country_code": "US",
            "telephone_number": "718-613-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11116 Medical Campus Rd",
            "address_purpose": "LOCATION",
            "city": "Hagerstown",
            "state": "MD",
            "postal_code": "217426710",
            "country_code": "US",
            "telephone_number": "301-790-8804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOSTUFA",
        "first_name": "QUAZI",
        "middle_name": "ASRAF",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-24",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D97656",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036152068",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036152068",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Quincy, IL

Sources for this page

Verify at the official NPI Registry.