Individual provider Active NPI

Nabeel Qureshi, MD

  • Internal Medicine Physician
  • West Haven, CT
National Provider Identifier
1124680269
Registry record updated Aug 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
66263 Issued in CT
Practice address
748 Savin Avenue First Floor
West Haven, CT 06516
Phone
(908) 346-5101
NPI assigned
Jun 28, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2022

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 MD22953 ME
Internal Medicine Physician 207R00000X 66263 CT Primary

Addresses

Primary practice location

748 Savin Avenue First Floor
West Haven, CT 06516

Mailing address

1290 Silas Deane Hwy FL 1
Wethersfield, CT 06109-4337

Other practice location 1

73 Waterbury Road
Suite 1
Prospect, CT 06712
Phone (203) 527-9444

Other practice location 2

302 Husson Ave
Bangor, ME 04401-3374
Phone (207) 275-4368

Other identifiers 1

IdentifierTypeStateIssuer
66263OtherCTCT LIC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20200804003238 CT Practitioner - Internal Medicine 7719214378 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

748 Savin Ave
FL 1
West Haven, CT 06516-4314
Phone (203) 800-4560

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group, Inc Internal Medicine CurrentSince Aug 1, 2020 Accepting new patients
Hars Medical Professional LLC Internal Medicine CurrentSince Aug 30, 2022 Accepting new patients
Hartford Healthcare Medical Group, Inc PastSince Jul 1, 2020 Accepting new patients

Locations

73 Waterbury Rd
Ste 1
Prospect, CT 06712
Phone (203) 527-9444

73 Waterbury Rd
Prospect, CT 06712
Phone (203) 527-9130

55 Meriden Ave
Ste 1D
Southington, CT 06489
Phone (860) 276-5144

1290 Silas Deane Hwy
Fl 1
Wethersfield, CT 06109
Phone (860) 972-6970

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": "1561680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1124680269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 SILAS DEANE HWY FL 1",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061094337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "748 SAVIN AVENUE FIRST FLOOR",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "06516",
            "telephone_number": "908-346-5101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "73 Waterbury Road",
            "address_2": "Suite 1",
            "address_purpose": "LOCATION",
            "city": "Prospect",
            "state": "CT",
            "postal_code": "06712",
            "country_code": "US",
            "telephone_number": "203-527-9444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "302 Husson Ave",
            "address_purpose": "LOCATION",
            "city": "Bangor",
            "state": "ME",
            "postal_code": "044013374",
            "country_code": "US",
            "telephone_number": "207-275-4368",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QURESHI",
        "first_name": "NABEEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-28",
        "last_updated": "2022-08-03",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ME",
            "license": "MD22953",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "66263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CT LIC",
            "identifier": "66263",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Haven, CT

Sources for this page

Verify at the official NPI Registry.