Mashood Qadri, DR

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

36749 Issued in AZ

Practice address

1637 E Monument Plaza Cir
Suite 1
Casa Grande, AZ 85222-5600

Phone

(520) 426-1512

Fax

(520) 876-5261

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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ, TX2 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

Specialty

NephrologyAlso: Internal Medicine

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Desert Kidney Associates PLCGroup PAC ID 4284611286, 27 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• 032579 Sun Lakes Dialysis (FMC) Dialysis facility, Sun Lakes, AZ, CCN 032579
• 032516 Chandler Dialysis (FMC) Dialysis facility, Chandler, AZ, CCN 032516
• Chandler Regional Medical Center Hospital, Chandler, AZ, CCN 030036
• Mercy Gilbert Medical Center Hospital, Gilbert, AZ, CCN 030119
• Banner Baywood Medical Center Hospital, Mesa, AZ, CCN 030088

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 28)

Interoperability endpoints

• Direct secure messaging: mqadri23278@direct.acumenmd.com

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.

• Desert Kidney Associates PLC

  • Nephrology Physician
  • Mesa, AZ
  • NPI 1144372905
  Medicare reassignment Care Compare group NPD
• Gila River Health Care Corporation

  • Critical Access Hospital
  • Laveen, AZ
  • NPI 1376538231

  TX

  Medicare reassignment NPD
• Gila River Health Care

  • Community/Behavioral Health Agency
  • Laveen, AZ
  • NPI 1598021495
  NPD
• Gila River Health Care Corporation

  • Rural Acute Care Hospital
  • Maricopa, AZ
  • NPI 1386633915
  NPD
• Gila River Health Care Corporation

  • Community/Behavioral Health Agency
  • Chandler, AZ
  • NPI 1821599424
  NPD
• Clinica la Familia, PC

  • Internal Medicine Physician
  • Phoenix, AZ
  • NPI 1780668921
  NPD (past)
• Renal Dimensions, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Queen Creek, AZ
  • NPI 1003976010
  NPD (past)

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

• Renal Care Group Arizona, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Chandler, AZ
  • NPI 1033221833

  Dialysis facility

  Care Compare affiliation Name & address match
• Renal Care Group Arizona, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Sun Lakes, AZ
  • NPI 1659483469

  Dialysis facility

  Care Compare affiliation Name & address match
• Banner Baywood Medical Center

  • General Acute Care Hospital
  • Mesa, AZ
  • NPI 1194758284
  Care Compare affiliation
• Dignity Community Care

  • General Acute Care Hospital
  • Chandler, AZ
  • NPI 1700910189
  Care Compare affiliation
• Dignity Health

  • General Acute Care Hospital
  • Gilbert, AZ
  • NPI 1992735088
  Care Compare affiliation

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331596800000",
    "number": "1184710188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 W. CHANDLER BLVD",
            "address_2": "SUITE 110",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852246100",
            "telephone_number": "480-584-3491",
            "fax_number": "480-584-4693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1637 E MONUMENT PLAZA CIR",
            "address_2": "SUITE 1",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "852225600",
            "telephone_number": "520-426-1512",
            "fax_number": "520-876-5261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QADRI",
        "first_name": "MASHOOD",
        "name_prefix": "Mr.",
        "credential": "DR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2012-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "226055",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "AZ",
            "license": "36749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "214680",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Provision Foundation
• Michael Pryor, CRNA
• Sarah M Przybyla, PA
• Rajeesh S Punnakkattu, MD
• Audra Puodziukas
• Elvira Quijas, NP
• Sarah Quintana, MA
• Alisha Raccuia
• Ambar Rahman, MD
• Mercedes Alyssa Ramirez Gutierrez, RBT

• Nephrology Physician in Casa Grande, AZ
• Providers in Casa Grande, AZ by specialty
• Nephrology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2012; 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.

Verify at the official NPI Registry.