NPIMap

Individual provider Active NPI

Saba Qureshi

  • Family Medicine Physician
  • Dayton, OH
National Provider Identifier
1205272598
Registry record updated Jan 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35129565 Issued in OH
Practice address
6438 Wilmington Pike
Suite 100
Dayton, OH 45459-7022
Phone
(937) 558-3840
Fax
(937) 558-3844
NPI assigned
May 14, 2013
Last updated
Jan 7, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 35129565 OH Primary

Addresses

Primary practice location

6438 Wilmington Pike
Suite 100
Dayton, OH 45459-7022

Mailing address

6438 Wilmington Pike
Suite 100
Dayton, OH 45459-7022
Phone (937) 558-3840

Other identifiers 1

IdentifierTypeStateIssuer
0183476MedicaidOH

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address squreshi459446@direct.ketteringhealth.org
FHIR URL https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20161014000937 OH Practitioner - Family Practice 4688802358 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wright State University Boonshoft School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alliance Physicians IncGroup PAC ID 0840104360, 314 clinicians

Practice addresses (Care Compare)

1625 S Alex Rd
West Carrollton, OH 45449-5404
Phone (937) 865-0534

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35129565OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Physicians Inc Family Medicine CurrentSince Sep 1, 2016 Accepting new patients

Locations

6438 Wilmington Pike
Ste 100
Dayton, OH 45459
Phone (937) 558-3840

1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 752-2306

1625 S Alex Rd
West Carrollton, OH 45449
Phone (937) 865-0534

Organizations & group practices 1

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 6

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": "1368489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609977600000",
    "number": "1205272598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6438 WILMINGTON PIKE",
            "address_2": "SUITE 100",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454597022",
            "telephone_number": "937-558-3840",
            "fax_number": "937-558-3844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6438 WILMINGTON PIKE",
            "address_2": "SUITE 100",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454597022",
            "telephone_number": "937-558-3840",
            "fax_number": "937-558-3844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QURESHI",
        "first_name": "SABA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-14",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35129565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0183476",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "squreshi459446@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "6438 Wilmington Pike",
            "address_2": "Suite 100",
            "city": "Dayton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454597022",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "6438 Wilmington Pike",
            "address_2": "Suite 100",
            "city": "Dayton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454597022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.