NPIMap

Individual provider Active NPI

Qazi Kamal Haider, M.D

  • Internal Medicine Physician
  • Flushing, NY
National Provider Identifier
1184793846
Registry record updated Aug 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
196383 Issued in NY
Practice address
14014 Cherry Ave
Flushing, NY 11355-3025
Phone
(718) 886-0355
Fax
(718) 886-0311
NPI assigned
Nov 7, 2006
Last updated
Aug 3, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 196383 NY Primary

Addresses

Primary practice location

14014 Cherry Ave
Flushing, NY 11355-3025

Mailing address

14014 Cherry Ave
Flushing, NY 11355-3213
Phone (718) 886-0355

Other identifiers 1

IdentifierTypeStateIssuer
01502381MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091205000124 NY Practitioner - Internal Medicine 5294874137 Reassigns benefits to 1 organization
Practice locations: Flushing, NY

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Qazi K Haider MD PCGroup PAC ID 3779612635, 2 clinicians

Practice addresses (Care Compare)

14014 Cherry Ave
Flushing, NY 11355-3025
Phone (718) 886-0355

4500 Parsons Blvd
Flushing, NY 11355-2205
Phone (718) 670-5000

8801 Parsons Blvd
Jamaica, NY 11432-3841
Phone (718) 886-0355

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
196383NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Qazi K. Haider, MD, PC Internal Medicine CurrentSince Mar 17, 2010 Accepting new patients
Flushing Hospital & Medical Center Past Accepting new patients
Woodcrest Rehabilitation and Residential Health Care Center LLC Past Accepting new patients
Flushing Hospital & Medical Center Past Accepting new patients
Medical Network Services PC Internal Medicine Past Accepting new patients
Newyork-Presbyterian-Queens Past Accepting new patients

Locations

11909 26th Ave
Flushing, NY 11354
Phone (718) 434-0600

13962 35th Ave
Flushing, NY 11354
Phone (718) 762-8635

4500 Parsons Blvd
Flushing, NY 11355
Phone (718) 670-5631

5920 Van Doren St
Flushing, NY 11368
Phone (718) 592-2000

8801 Parsons Blvd
Jamaica, NY 11432
Phone (718) 291-1114

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: qhaider@khaider.curemd.direct-ci.com
  • Direct secure messaging: qkh9001@direct.nyp.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312329600000",
    "number": "1184793846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14014 CHERRY AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553213",
            "telephone_number": "718-886-0355",
            "fax_number": "718-886-0311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14014 CHERRY AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553025",
            "telephone_number": "718-886-0355",
            "fax_number": "718-886-0311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAIDER",
        "first_name": "QAZI",
        "middle_name": "KAMAL",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2011-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "196383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01502381",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.