Individual provider Active NPI

Ambreen Qureshi, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Tampa, FL
National Provider Identifier
1164460788
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
ME115520 Issued in FL
Practice address
508 S Habana Ave Ste 360
Tampa, FL 33609-4192
Phone
(813) 474-3636
Fax
(813) 862-2536
NPI assigned
Jun 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 0101283198 VA
Endocrinology, Diabetes & Metabolism Physician 207RE0101X ME115520 FL Primary

Addresses

Primary practice location

508 S Habana Ave Ste 360
Tampa, FL 33609-4192

Mailing address

4030 Henderson Blvd Ste 701
Tampa, FL 33629-4940
Phone (813) 474-3636

Other practice location 1

1001 Sam Perry Blvd
Fredericksburg, VA 22401-4453
Phone (540) 374-3290

Other identifiers 2

IdentifierTypeStateIssuer
009695700MedicaidFL
P01210216OtherFLR&R MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130813000183 FL Practitioner - Endocrinology 0244234045 Reassigns benefits to 1 organization
I20241010001159 VA Practitioner - Endocrinology 0244234045 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1101 Sam Perry Blvd
Suite 305
Fredericksburg, VA 22401-4465
Phone (540) 374-3290

4030 Henderson Blvd
Suite 701
Tampa, FL 33629-4940

508 S Habana Ave
Suite 360
Tampa, FL 33609-4192
Phone (813) 474-3636

Hospital & facility affiliations

  • Mary Washington Hospital Hospital, Fredericksburg, VA, CCN 490022
  • Stafford Hospital, LLC Hospital, Stafford, VA, CCN 490140

Merit-based Incentive Payment System (MIPS)

Final score
97.65 of 100Reported as apm
Quality
86.21
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME115520FLMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Washington Healthcare Physicians CurrentSince Oct 18, 2024 Accepting new patients
Thyroid Endocrinology and Diabetes Specialists of Tampa LLC Endocrinology, Diabetes & Metabolism CurrentSince Apr 1, 2016 Accepting new patients
Mary Washington Healthcare Physicians Endocrinology, Diabetes & Metabolism CurrentSince Oct 18, 2024 Accepting new patients

Locations

19046 Bruce B Downs Blvd
Tampa, FL 33647
Phone (504) 300-9377

508 S Habana Ave
Ste 360
Tampa, FL 33609
Phone (813) 474-3636

4030 Henderson Blvd
Tampa, FL 33629

2204 Ashley Oaks Cir
Ste 102
Wesley Chapel, FL 33544
Phone (352) 592-4938

1101 Sam Perry Blvd
Ste 305
Fredericksburg, VA 22401
Phone (540) 374-3290

1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767657600000",
    "number": "1164460788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4030 HENDERSON BLVD STE 701",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336294940",
            "telephone_number": "813-474-3636",
            "fax_number": "813-862-2536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 S HABANA AVE STE 360",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336094192",
            "telephone_number": "813-474-3636",
            "fax_number": "813-862-2536"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 Sam Perry Blvd",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224014453",
            "country_code": "US",
            "telephone_number": "540-374-3290",
            "fax_number": "540-374-3289",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QURESHI",
        "first_name": "AMBREEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-04",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "VA",
            "license": "0101283198",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "FL",
            "license": "ME115520",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009695700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "R&R MEDICARE",
            "identifier": "P01210216",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.