Faisal A Quereshy, MD, DDS, FACS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

30-02-1003 Issued in OH

Practice address

3591 Reserve Commons Drive
Suite 300
Medina, OH 44256

Phone

(330) 721-2323

Fax

(330) 721-1344

NPI assigned

Oct 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: fquereshy36980@ehrdirect.uhhospitals.org

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.

• Case Dental Medicine Support Services, LLC.

  • Oral and Maxillofacial Surgery (Dentist)
  • Cleveland, OH
  • NPI 1104059658
  Medicare reassignment
• Sage Surgical Associates LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Medina, OH
  • NPI 1174471999
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1144316126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3591 RESERVE COMMONS DRIVE",
            "address_2": "SUITE 300",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "44256",
            "telephone_number": "330-721-2323",
            "fax_number": "330-721-1344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3591 RESERVE COMMONS DRIVE",
            "address_2": "SUITE 300",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "44256",
            "telephone_number": "330-721-2323",
            "fax_number": "330-721-1344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUERESHY",
        "first_name": "FAISAL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD, DDS, FACS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "OH",
            "license": "30-02-1003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Przychocki, RN
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• Jeanette Inez Pycraft, LISW
• Kristine Michelle Quallich, PH.D.
• Andrea Radel
• Kaitlin Rader, M.A. CCC-SLP
• Radiology Professionals, Inc.
• Heather Rae
• Susan J Rair Krug, MSW,LICSW

• Oral and Maxillofacial Surgery (Dentist) in Medina, OH
• Providers in Medina, OH by specialty
• Oral and Maxillofacial Surgery (Dentist) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.