Fayyaz Qadir, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD437282 Issued in PA

Practice address

406 Franklin St.
Smethport, PA 16749

Phone

(814) 887-5655

Fax

(814) 887-1911

NPI assigned

May 13, 2008

Last updated

Feb 5, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Family Practice

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shoshone-Paiute TribesGroup PAC ID 5092871889, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Luke's Regional Medical Center Hospital, Boise, ID, CCN 130006

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Shoshone-Paiute Tribes

  dba Owyhee Community Health Facility

  • Clinic/Center
  • Owyhee, NV
  • NPI 1528230224

  TX

  Medicare reassignment Care Compare group NPD
• Shoshone Paiute Tribes

  dba Owyhee Ambulance

  • Land Ambulance
  • Owyhee, NV
  • NPI 1104181791
  NPD
• Bradford Regional Medical Services

  • Family Medicine Physician
  • Bradford, PA
  • NPI 1144273814
  NPD (past)
• Owyhee Community Health Facility

  • Clinic/Center
  • Owyhee, NV
  • NPI 1659535813
  NPD (past)

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

• St Lukes Regional Medical Center

  dba Air St Luke's

  • Ambulance
  • Boise, ID
  • NPI 1518115195

  Hospital

  Care Compare affiliation
• St Lukes Regional Medical Center

  dba St Lukes Meridian Medical Center

  • General Acute Care Hospital
  • Boise, ID
  • NPI 1770586794
  Care Compare affiliation

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

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265328000000",
    "number": "1083881635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 INTERSTATE PARKWAY",
            "city": "BRADFORD",
            "state": "PA",
            "postal_code": "16701",
            "telephone_number": "814-362-8277",
            "fax_number": "814-368-7732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 FRANKLIN ST.",
            "city": "SMETHPORT",
            "state": "PA",
            "postal_code": "16749",
            "telephone_number": "814-887-5655",
            "fax_number": "814-887-1911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QADIR",
        "first_name": "FAYYAZ",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-13",
        "last_updated": "2010-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD437282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RESIDENT PERMIT",
            "identifier": "18638",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• McKean Care Services, LP (Sena Kean Manor)
• MDS Pennsylvania PC
• Lorevie Nanola, OTR/L
• Olean General Hospital (Foot Hills Medical Group at BRMC RHC)
• Phoenix EMS Inc.
• Rehabcare
• Annemarie Rich, LCSW
• Rlmosher LLC (Rural Regional EMS)
• Bonnie Scanlan, NP
• Sarah Elizabeth Schwab, CRNP

• Family Medicine Physician in Smethport, PA
• Providers in Smethport, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.