NPIMap

Individual provider Active NPI

Mohammad Nauman Qureshi, M.D.

  • Specialist
  • Cordova, TN
National Provider Identifier
1104833326
Registry record updated May 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD0000037276 Issued in TN
Practice address
290 S Walnut Bend
Ste 1
Cordova, TN 38018-7280
Phone
(901) 266-1080
Fax
(901) 266-1158
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD0000037276 TN Primary

Addresses

Primary practice location

290 S Walnut Bend
Ste 1
Cordova, TN 38018-7280

Mailing address

PO Box 1000
Dept 913
Memphis, TN 38148-0913
Phone (901) 266-1080

Other identifiers 1

IdentifierTypeStateIssuer
3723254MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040511001250 TN Practitioner - EndocrinologyPractitioner - Internal Medicine 6406845619 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Consolidated Medical Practices of Memphis,PLLCGroup PAC ID 1759459845, 113 clinicians
Physiotherapy Associates IncGroup PAC ID 3577470442, shared by 50 NPIs, 1,432 clinicians

Practice addresses (Care Compare)

6799 Great Oaks Rd
Suite 250
Memphis, TN 38138-2584
Phone (901) 261-0700

8059 Stage Hills Blvd
Suite 104
Bartlett, TN 38133-4071
Phone (901) 383-4515

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD0000037276TNMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Consolidated Medical Practices of Memphis,PLLC CurrentSince Sep 15, 2014 Accepting new patients
First Choice Medical Care PLLC PastSince Sep 20, 2024 Accepting new patients
The Kidney Group of Memphis, PLLC Specialist Past Accepting new patients
Independent Radiology Associates PLC Past Accepting new patients
Skaz Holding, PLLC Specialist Past Accepting new patients

Locations

2996 Kate Bond Rd
Ste 413
Bartlett, TN 38133
Phone (901) 384-0065

290 S Walnut Bend Rd
Ste 1
Cordova, TN 38018
Phone (901) 266-1080

290 S Walnut Bend Rd
Cordova, TN 38018
Phone (901) 266-1080

6799 Great Oaks Rd
Ste 250
Memphis, TN 38138
Phone (901) 261-0700

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IBHBDD

Organizations & group practices 5

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.

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432857600000",
    "number": "1104833326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1000",
            "address_2": "DEPT 913",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381480913",
            "telephone_number": "901-266-1080",
            "fax_number": "901-266-1158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 S WALNUT BEND",
            "address_2": "STE 1",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380187280",
            "telephone_number": "901-266-1080",
            "fax_number": "901-266-1158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QURESHI",
        "first_name": "MOHAMMAD",
        "middle_name": "NAUMAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2015-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TN",
            "license": "MD0000037276",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3723254",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cordova, TN

Sources for this page

Verify at the official NPI Registry.