Individual provider Active NPI

Ghayas Ahmed Qureshi, M.D.

  • Internal Medicine Physician
  • Crowley, LA
National Provider Identifier
1114923901
Registry record updated Aug 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD11742R Issued in LA
Practice address
1305 Crowley Rayne Hwy
Crowley, LA 70526
Phone
(337) 783-3222
Fax
(337) 788-6413
NPI assigned
Jun 26, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD11742R LA Primary
Emergency Medicine Physician 207P00000X 11742R LA

Addresses

Primary practice location

1305 Crowley Rayne Hwy
Crowley, LA 70526

Mailing address

200 Corporate Blvd
Lafayette, LA 70508-3870
Phone (800) 893-9698

Other practice location 1

107 Carrollton Cir
Lafayette, LA 70503-5842
Phone (337) 981-0268

Other practice location 2

2390 W Congress St
Lafayette, LA 70506-4205
Phone (337) 261-6000

Other practice location 3

118 N Hospital Dr
Abbeville, LA 70510-4039
Phone (337) 893-5466

Other identifiers 2

IdentifierTypeStateIssuer
1688584MedicaidLA
255840YJ9ROtherPTAN

Other names 1

  • Ghayas Ahmed Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20040303000394 LA Practitioner - Internal MedicinePractitioner - Emergency Medicine 1052208162 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Emergency Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crowley Emergency Group LLCGroup PAC ID 1456572965, 26 clinicians
Congress Emergency Group LLCGroup PAC ID 1557580354, 16 clinicians

Practice addresses (Care Compare)

1305 Crowley Rayne Hwy
Crowley, LA 70526-8202
Phone (337) 783-3222

2390 W Congress St
Lafayette, LA 70506-4205
Phone (337) 261-6000

Hospital & facility affiliations

  • Acadia General Hospital Hospital, Crowley, LA, CCN 190044
  • Ochsner University Hospital and Clinics Hospital, Lafayette, LA, CCN 190006

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD11742RLAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Main Street Emergency Group LLC Emergency Medicine CurrentSince Feb 3, 2016 Accepting new patients
Crowley Emergency Group LLC Emergency Medicine CurrentSince Oct 30, 2014 Accepting new patients
Abbeville Emergency Group LLC Emergency Medicine CurrentSince Nov 17, 2015 Accepting new patients
Congress Emergency Group LLC Emergency Medicine CurrentSince Dec 3, 2017 Accepting new patients
Nes Louisiana Inc Emergency Medicine PastSince Jul 10, 2022 Accepting new patients
Hospital Service District No. 2 Past Accepting new patients
C & M Medical Services, Inc. Past Accepting new patients
Cureshe, Inc PastSince Jun 22, 1998 Accepting new patients

Locations

118 N Hospital Dr
Abbeville, LA 70510
Phone (337) 893-5466

1305 E Highway 90
Crowley, LA 70526
Phone (337) 783-3222

2390 W Congress St
Lafayette, LA 70506
Phone (337) 261-6000

200 Corporate Blvd
Lafayette, LA 70508

2315 E Main St
New Iberia, LA 70560
Phone (337) 364-0441

600 N Lewis St
New Iberia, LA 70563
Phone (337) 365-7311

1900 Main St
Sheridan, LA 70438
Phone (985) 839-4431

Interoperability endpoints

  • Direct secure messaging: gqureshi1443725@direct.ochsner.org

Organizations & group practices 8

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 2

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": "1119744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566345600000",
    "number": "1114923901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CORPORATE BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083870",
            "telephone_number": "800-893-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 CROWLEY RAYNE HWY",
            "city": "CROWLEY",
            "state": "LA",
            "postal_code": "70526",
            "telephone_number": "337-783-3222",
            "fax_number": "337-788-6413"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "107 Carrollton Cir",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "LA",
            "postal_code": "705035842",
            "country_code": "US",
            "telephone_number": "337-981-0268",
            "fax_number": "888-374-4887",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2390 W Congress St",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "LA",
            "postal_code": "705064205",
            "country_code": "US",
            "telephone_number": "337-261-6000",
            "fax_number": "337-289-7711",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "118 N Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Abbeville",
            "state": "LA",
            "postal_code": "705104039",
            "country_code": "US",
            "telephone_number": "337-893-5466",
            "fax_number": "337-898-1827",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QURESHI",
        "first_name": "GHAYAS",
        "middle_name": "AHMED",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-26",
        "last_updated": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "MD11742R",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "11742R",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1688584",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "255840YJ9R",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GHAYAS",
            "last_name": "AHMED",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Crowley, LA

Sources for this page

Verify at the official NPI Registry.