Individual provider Active NPI

Amil M Qureshi, DO

  • Pediatrics Physician
  • Shrewsbury, PA
National Provider Identifier
1174555130
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
OS007778L Issued in PA
Practice address
15 Constitution Ave
Shrewsbury, PA 17361-1709
Phone
(717) 235-6848
Fax
(717) 759-6770
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X OS007778L PA Primary
Pediatrics Physician 208000000X DO00935 RI
Pediatrics Physician 208000000X H0090196 MD

Addresses

Primary practice location

15 Constitution Ave
Shrewsbury, PA 17361-1709

Mailing address

601 Memory LN
York, PA 17402-2231
Phone (717) 851-1405

Other practice location 1

2050 S Queen St
York, PA 17403-4829
Phone (717) 812-4240

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, MD2 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
I20141126001289 PA Practitioner - Pediatric Medicine 9234377656 Reassigns benefits to 1 organization
I20201125000210 MD Practitioner - Pediatric Medicine 9234377656 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H0090196MDMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chase Brexton Health Services, Inc. CurrentSince Jan 18, 2022 Accepting new patients
Wellspan Medical Group Current Accepting new patients
Baltimore Medical System, Inc. CurrentSince May 8, 2023 Accepting new patients
Medstar Medical Group II LLC CurrentSince Jan 22, 2024 Accepting new patients
Lifebridge Community Pediatrics, LLC Pediatrics CurrentSince Jan 1, 2021 Accepting new patients
Wellspan Medical Group CurrentSince May 12, 2025 Accepting new patients
Chase Brexton Health Services, Inc. CurrentSince Jan 18, 2022 Accepting new patients
Wellspan Medical Group CurrentSince May 12, 2025 Accepting new patients
Wellspan Medical Group Past Accepting new patients

Locations

1111 N Charles St
Baltimore, MD 21201
Phone (410) 486-5991

29955 Three Notch Rd
Ste 100
Charlotte Hall, MD 20622
Phone (301) 290-5300

1000 Stewart Ave
Glen Burnie, MD 21061

10084 Reisterstown Rd
Ste 200B
Owings Mills, MD 21117
Phone (410) 526-7993

849 Fairmount Ave
Ste 100A
Towson, MD 21286
Phone (410) 494-1369

15 Constitution Ave
Shrewsbury, PA 17361
Phone (717) 227-0222

2050 S Queen St
York, PA 17403
Phone (717) 812-2316

601 Memory Ln
York, PA 17402
Phone (717) 851-6670

2675 Joppa Rd
York, PA 17403
Phone (717) 741-9063

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

Interoperability endpoints

  • Direct secure messaging: aqureshi472517@wellspan.direct-ci.com

Organizations & group practices 9

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1174555130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 MEMORY LN",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174022231",
            "telephone_number": "717-851-1405",
            "fax_number": "717-851-6969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 CONSTITUTION AVE",
            "city": "SHREWSBURY",
            "state": "PA",
            "postal_code": "173611709",
            "telephone_number": "717-235-6848",
            "fax_number": "717-759-6770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2050 S Queen St",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174034829",
            "country_code": "US",
            "telephone_number": "717-812-4240",
            "fax_number": "717-848-5520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QURESHI",
        "first_name": "AMIL",
        "middle_name": "M",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "OS007778L",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "RI",
            "license": "DO00935",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "H0090196",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shrewsbury, PA

Sources for this page

Verify at the official NPI Registry.