Active NPI
Ibrahim Quadri, DO
- Internal Medicine Physician
- Reno, NV
National Provider Identifier
1164050332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- DO3456
- Practice address
- 625 Innovation Dr
Reno, NV 89511-2215 - Phone
- (775) 799-7320
- NPI assigned
- Apr 1, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | DO3456 | NV | Primary |
Addresses
Primary practice location
625 Innovation Dr
Reno, NV 89511-2215
Mailing address
405 W Grand Ave
Dayton, OH 45405-7538
Phone (937) 723-3245
Other practice location 1
2345 E Prater Way Ste 207
Sparks, NV 89434-9634
Phone (775) 356-9393
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230921003295 | NV | Practitioner - Hospitalist | 3678994423 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Northern Nevada Medical Group LLC
Practice addresses (Care Compare)
2375 E Prater Way
Sparks, NV 89434-9641
Phone (775) 351-5301
2385 E Prater Way
Suite 205
Sparks, NV 89434-9688
Phone (775) 356-4888
Hospital & facility affiliations
- Northern Nevada Medical Center
- Banner Churchill Community Hospital
- Eastern Plumas Hospital - Portola Campus
- Carson Valley Health
- Renown Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sparks Family Hospital Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Reno, NV
- NPI 1609451327
Hospital & facility affiliations 13
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community/Behavioral Health Agency
- Gardnerville, NV
- NPI 1104482918
Hospital
-
- Critical Access Hospital
- Gardnerville, NV
- NPI 1396799102
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692057600000",
"number": "1164050332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 W GRAND AVE",
"city": "DAYTON",
"state": "OH",
"postal_code": "454057538",
"telephone_number": "937-723-3245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 INNOVATION DR",
"city": "RENO",
"state": "NV",
"postal_code": "895112215",
"telephone_number": "775-799-7320"
}
],
"practiceLocations": [
{
"address_1": "2345 E Prater Way Ste 207",
"address_purpose": "LOCATION",
"city": "Sparks",
"state": "NV",
"postal_code": "894349634",
"country_code": "US",
"telephone_number": "775-356-9393",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "QUADRI",
"first_name": "IBRAHIM",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-01",
"last_updated": "2023-08-15",
"certification_date": "2023-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NV",
"license": "DO3456",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; 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.