Ehsan Qadir, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

33703 Issued in KY

Practice address

910 Wallace Ave.
Leitchfield, KY 42754-2414

Phone

(270) 259-1656

Fax

(270) 259-9536

NPI assigned

Aug 22, 2005

Sex

Male

Sole proprietor

No

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.

• Concord Medical Group of Kentucky PLLC

  • Emergency Medicine Physician
  • Hardinsburg, KY
  • NPI 1346746385

  KY

  Medicare reassignment Care Compare group
• Southeastern Emergency Physicians LLC

  • Emergency Medicine Physician
  • Maysville, KY
  • NPI 1356379382

  KY

  Medicare reassignment Care Compare group
• Trigg County Hospital, Inc

  • Critical Access Hospital
  • Cadiz, KY
  • NPI 1538218680

  Emergency Medicine, KY

  Medicare reassignment NPD
• Trigg County Hospital, Inc

  • Rural Health Clinic/Center
  • Cadiz, KY
  • NPI 1669103347
  NPD
• JMHC Inc

  • Rural Health Clinic/Center
  • Carlisle, KY
  • NPI 1093042038
  NPD (past)
• Marshall Emergency Services Associates, PLLC

  • Emergency Medicine Physician
  • Lexington, KY
  • NPI 1891737185

  Emergency Medicine

  NPD (past)
• Medical Point of Care PLLC

  • Family Medicine Physician
  • Liberty, KY
  • NPI 1033217559
  NPD (past)

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

• Bowling Green-Warren County Community Hospital Corporation

  • Rural Acute Care Hospital
  • Russellville, KY
  • NPI 1124868963

  Hospital

  Care Compare affiliation
• Bowling Green-Warren County Community Hospital Corporation

  • Critical Access Hospital
  • Horse Cave, KY
  • NPI 1356716575

  Hospital

  Care Compare affiliation
• Bowling Green-Warren County Community Hospital Corporation

  • Critical Access Hospital
  • Franklin, KY
  • NPI 1831173467

  Hospital

  Care Compare affiliation

Specialty

Internal Medicine

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Concord Medical Group of Kentucky PLLC 78 clinicians

Southeastern Emergency Physicians LLC 776 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• The Medical Center at Russellville Hospital, Russellville, KY, CCN 180066
• Caverna Memorial Hospital Hospital, Horse Cave, KY, CCN 181314
• The Medical Center at Franklin Hospital, Franklin, KY, CCN 181318

Medicare fee-for-service enrollment

Enrolled in KY

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 22, 2008.

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229904000000",
    "number": "1114919404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 WALLACE AVE",
            "city": "LEITCHFIELD",
            "state": "KY",
            "postal_code": "427542414",
            "telephone_number": "270-259-1656",
            "fax_number": "270-259-9536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 WALLACE AVE.",
            "city": "LEITCHFIELD",
            "state": "KY",
            "postal_code": "427542414",
            "telephone_number": "270-259-1656",
            "fax_number": "270-259-9536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QADIR",
        "first_name": "EHSAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-22",
        "last_updated": "2008-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "33703",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "33703",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00104258",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00145372",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000313491",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000312389",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64337033",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Leitchfield, KY
• Internal Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2008; 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.