Individual provider Active NPI

Sana Saeed Qureshi, M.D.

  • Psychiatry Physician
  • Miami, FL
National Provider Identifier
1134419146
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME120704 Issued in FL
Practice address
540 Brickell Key Dr
Miami, FL 33131-2697
Phone
(228) 282-0697
Fax
(228) 282-0697
NPI assigned
Apr 11, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 73364 CT
Student in an Organized Health Care Education/Training Program 390200000X
Psychiatry Physician 2084P0800X ME120704 FL Primary

Addresses

Primary practice location

540 Brickell Key Dr
Miami, FL 33131-2697

Mailing address

540 Brickell Key Dr Apt 606
Miami, FL 33131-2640
Phone (228) 282-0697

Other practice location 1

189 Storrs Rd
Mansfield Center, CT 06250-1683
Phone (860) 456-1311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20250731001640 CA Practitioner - Psychiatry 9537424692 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
County of SolanoGroup PAC ID 7911893177, 30 clinicians

Practice addresses (Care Compare)

2101 Courage Dr
Fairfield, CA 94533-6717
Phone (707) 435-2080

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
73364CTMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SSQ Psychiatry LLC CurrentSince Aug 12, 2017 Accepting new patients
County of Solano CurrentSince May 3, 2025 Accepting new patients
County of Solano Current Accepting new patients
County of Solano CurrentSince May 3, 2025 Accepting new patients

Locations

275 Beck Ave
#5210
Fairfield, CA 94533
Phone (707) 784-8571

2101 Courage Dr
Fairfield, CA 94533
Phone (707) 428-1131

355 Tuolumne St
Vallejo, CA 94590
Phone (707) 553-5331

Organizations & group practices 4

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": "1302480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1134419146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 BRICKELL KEY DR APT 606",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331312640",
            "telephone_number": "228-282-0697",
            "fax_number": "924-726-6525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 BRICKELL KEY DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331312697",
            "telephone_number": "228-282-0697",
            "fax_number": "228-282-0697"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "189 Storrs Rd",
            "address_purpose": "LOCATION",
            "city": "Mansfield Center",
            "state": "CT",
            "postal_code": "062501683",
            "country_code": "US",
            "telephone_number": "860-456-1311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QURESHI",
        "first_name": "SANA",
        "middle_name": "SAEED",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-11",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "73364",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME120704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.