Active NPI
Nabeel Qureshi, MD
- Internal Medicine Physician
- West Haven, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 66263
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 66263 | Other | CT | CT 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
Enrollment records 1
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hartford Healthcare Medical Group, Inc | Internal Medicine | Current | Accepting new patients |
| Hars Medical Professional LLC | Internal Medicine | Current | Accepting new patients |
| Hartford Healthcare Medical Group, Inc | Past | 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.
-
- Internal Medicine Physician
- West Haven, CT
- NPI 1568190379
-
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- Wethersfield, CT
- NPI 1043561301
Internal Medicine
-
- Durable Medical Equipment & Medical Supplies
- Farmington, CT
- NPI 1720140221
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; 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.