Individual provider Active NPI

Muhammad Muddasir Qureshi, M.D., M.P.H.

  • Neurology with Special Qualifications in Child Neurology Physician
  • Manchester, NH
National Provider Identifier
1093941924
Registry record updated Aug 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
18341 Issued in NH
Practice address
275 Mammoth Rd Ste 1
Manchester, NH 03109
Phone
(603) 663-3222
NPI assigned
Jun 5, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X 18341 NH Primary

Addresses

Primary practice location

275 Mammoth Rd Ste 1
Manchester, NH 03109

Mailing address

275 Mammoth Rd Ste 1
Manchester, NH 03109-4133
Phone (603) 663-3222

Other practice location 1

100 N Academy Ave
Danville, PA 17822-2012
Phone (570) 271-6012

Other practice location 2

100 N Academy Ave
Danville, PA 17822-2012
Phone (570) 271-6012

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20171030002428 NH Practitioner - Neurology 8820305071 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18341NHMDNeurology with Special Qualifications in Child Neurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Foundation Medical Partners Inc CurrentSince Feb 1, 2026 Accepting new patients
Foundation Medical Partners Inc. CurrentSince Feb 1, 2026 Accepting new patients
Elliot Professional Services CurrentSince Sep 30, 2017 Accepting new patients

Locations

275 Mammoth Rd
Ste 1
Manchester, NH 03109
Phone (603) 663-3222

1 Elliot Way
Manchester, NH 03103
Phone (603) 663-2271

8 Prospect St
Nashua, NH 03060
Phone (603) 281-9275

Organizations & group practices 3

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": "1244160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564963200000",
    "number": "1093941924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 MAMMOTH RD STE 1",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031094133",
            "telephone_number": "603-663-3222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 MAMMOTH RD STE 1",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "03109",
            "telephone_number": "603-663-3222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 N Academy Ave",
            "address_purpose": "LOCATION",
            "city": "Danville",
            "state": "PA",
            "postal_code": "178222012",
            "country_code": "US",
            "telephone_number": "570-271-6012",
            "fax_number": "570-271-7923",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 N Academy Ave",
            "address_purpose": "LOCATION",
            "city": "Danville",
            "state": "PA",
            "postal_code": "178222012",
            "country_code": "US",
            "telephone_number": "570-271-6012",
            "fax_number": "570-271-7923",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QURESHI",
        "first_name": "MUHAMMAD",
        "middle_name": "MUDDASIR",
        "name_prefix": "Dr.",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-05",
        "last_updated": "2019-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "NH",
            "license": "18341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

Verify at the official NPI Registry.