Individual provider Active NPI

Sakib S Qureshi, M.D.

  • Neurology Physician
  • Atlanta, GA
National Provider Identifier
1215105051
Registry record updated Nov 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
001372 Issued in GA
Practice address
1110 W Peachtree St NW Ste 1100
Atlanta, GA 30309
Phone
(404) 892-2131
Fax
(404) 215-9222
NPI assigned
Feb 14, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 001372 GA Primary

Addresses

Primary practice location

1110 W Peachtree St NW Ste 1100
Atlanta, GA 30309

Mailing address

6600 Peachtree Dunwoody Rd Ste 325
Atlanta, GA 30328-6773
Phone (404) 876-1906

Other practice location 1

6135 Barfield Rd Ste 200
Atlanta, GA 30328-4308
Phone (404) 256-8500

Other identifiers 1

IdentifierTypeStateIssuer
202IL36390OtherGAMEDICARE PTAN

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address sakibqureshi@lmg.allscriptsdirect.net Direct
Direct Messaging Address sakibqureshi@lmg.allscripts.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, ND2 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
I20100809000675 GA Practitioner - Neurology 9537292784 Reassigns benefits to 2 organizations
I20180209002287 ND Practitioner - Neurology 9537292784 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Laureate Medical Group at Northside, LLCGroup PAC ID 2668458530, 75 clinicians
Physiotherapy Associates IncGroup PAC ID 3577470442, shared by 50 NPIs, 1,432 clinicians

Practice addresses (Care Compare)

1110 W Peachtree St NW
Suite 1100
Atlanta, GA 30309-3609
Phone (404) 892-2131

390 Ernest W Barrett Pkwy NW
Kennesaw, GA 30144-4989
Phone (770) 426-9945

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.89 of 100Reported as group
Quality
76.16
Promoting interoperability
88
Improvement activities
40
Cost
70.16

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
001372GAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Alexius Medical Center CurrentSince May 29, 2018 Accepting new patients
St Alexius Medical Center CurrentSince May 29, 2018 Accepting new patients
The Emory Clinic Inc CurrentSince Aug 1, 2010 Accepting new patients
Laureate Medical Group at Northside LLC CurrentSince Nov 1, 2018 Accepting new patients
Inova Physician Partners, LLC Past Accepting new patients
Dekalb Medical Specialty Care Group LLC Neurology Past Accepting new patients

Locations

3400 Old Milton Pkwy
Ste 500
Alpharetta, GA 30005
Phone (678) 775-2284

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

1110 W Peachtree St NW
Ste 1100
Atlanta, GA 30309
Phone (404) 256-8500

6600 Peachtree Dunwoody Rd
Bldg 600
Sandy Springs, GA 30328

6135 Barfield Rd
Sandy Springs, GA 30328
Phone (404) 250-6691

6135 Barfield Rd
Ste 200
Sandy Springs, GA 30328
Phone (404) 256-8500

900 E Broadway Ave
Bismarck, ND 58501
Phone (701) 530-7300

Interoperability endpoints

  • Direct secure messaging: sakibqureshi@lmg.allscriptsdirect.net
  • Direct secure messaging: squreshi@crhn.cernerdirect.com

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 3

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": "1202947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1215105051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 PEACHTREE DUNWOODY RD STE 325",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303286773",
            "telephone_number": "404-876-1906",
            "fax_number": "678-781-3036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 W PEACHTREE ST NW STE 1100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30309",
            "telephone_number": "404-892-2131",
            "fax_number": "404-215-9222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6135 Barfield Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303284308",
            "country_code": "US",
            "telephone_number": "404-256-8500",
            "fax_number": "404-256-8506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QURESHI",
        "first_name": "SAKIB",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-14",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "GA",
            "license": "001372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "202IL36390",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sakibqureshi@lmg.allscriptsdirect.net",
            "affiliation": "N",
            "endpointDescription": "direct address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "direct edge",
            "address_1": "6135 Barfield Rd Ste 200",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303284308",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sakibqureshi@lmg.allscripts.net",
            "affiliation": "N",
            "endpointDescription": "direct address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "direct edge",
            "address_1": "1110 W Peachtree St NW Ste 1100",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "30309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.