NPIMap

Individual provider Active NPI

Imtiaz Lewis Qureshi, MD

  • Diagnostic Radiology Physician
  • Cupertino, CA
National Provider Identifier
1215901061
Registry record updated Dec 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A78245 Issued in CA
Practice address
20660 Stevens Creek Blvd
Suite 333
Cupertino, CA 95014-2120
Phone
(650) 940-7173
Fax
(650) 988-7838
NPI assigned
Feb 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A78245 CA Primary

Addresses

Primary practice location

20660 Stevens Creek Blvd
Suite 333
Cupertino, CA 95014-2120

Mailing address

15732 Los Gatos Blvd
Suite 1000
Los Gatos, CA 95032-2504
Phone (408) 356-0683

Other practice location 1

625 Lincoln Ave
San Jose, CA 95126-3785
Phone (408) 871-5250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, IA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040223000908 CA Practitioner - Diagnostic Radiology 8325934839 Reassigns benefits to 5 organizations
I20260529002663 IA Practitioner - Diagnostic Radiology 8325934839 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Silicon Valley Diagnostic Imaging IncGroup PAC ID 5496838518, 78 clinicians
Enloe Medical CenterGroup PAC ID 9739092388, 330 clinicians
Golden State Imaging Associates IncGroup PAC ID 1254761315, 242 clinicians
El Camino Health Medical Network LLCGroup PAC ID 6103115183, 202 clinicians

Practice addresses (Care Compare)

1177 Elmsford CT
Cupertino, CA 95014-4907
Phone (408) 866-4075

1600 Esplanade
Suite C
Chico, CA 95926-3369
Phone (530) 332-4470

20131 Rancho Bella Vis
Saratoga, CA 95070-5958
Phone (866) 579-1110

20862 Verde Vista LN
Saratoga, CA 95070-4830
Phone (818) 639-2901

2500 Grant Rd
Mountain View, CA 94040-4302
Phone (408) 866-4075

625 Lincoln Ave
San Jose, CA 95126-3785
Phone (408) 871-3400

815 Pollard Rd
Los Gatos, CA 95032-1438
Phone (408) 866-4075

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
85.48 of 100Reported as group
Quality
80.12
Promoting interoperability
100
Improvement activities
40
Cost
71.46

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A78245CAMDDiagnostic Radiology Physician
1234CAMDPrevention Professional

Practice roles

OrganizationSpecialtyStatusNew patients
Enloe Medical Center CurrentSince Nov 1, 2025 Accepting new patients
El Camino Health Medical Network, LLC CurrentSince Sep 4, 2019 Accepting new patients
Silicon Valley Diagnostic Imaging, Inc. Diagnostic Radiology CurrentSince Feb 28, 2008 Accepting new patients
Professional Radiology Inc. Diagnostic Radiology CurrentSince Jun 15, 2026 Accepting new patients
Golden State Imaging Associates Inc Diagnostic Radiology CurrentSince Nov 16, 2025 Accepting new patients
Enloe Medical Center CurrentSince Nov 1, 2025 Accepting new patients
Pacific Imaging Consultants, a Medical Group, Inc. Diagnostic Radiology Past Accepting new patients
Enloe Medical Center Past Accepting new patients
El Camino Hospital Past Accepting new patients
Silicon Valley Medical Imaging Inc a Medical Corporation PastSince Jun 8, 2009 Accepting new patients
El Camino Health Medical Group Past Accepting new patients
Valley Radiology Medical Associates, Inc. Past Accepting new patients

Locations

1600 Esplanade
Ste C
Chico, CA 95926
Phone (530) 332-4470

17100 Euclid St
Ste 4004
Fountain Vly, CA 92708
Phone (714) 966-7200

9400 No Name Uno
Gilroy, CA 95020
Phone (408) 848-2000

47111 Monroe St
#1112
Indio, CA 92201

15732 Los Gatos Blvd
Los Gatos, CA 95032
Phone (408) 320-7626

815 Pollard Rd
Los Gatos, CA 95032
Phone (408) 378-6131

2500 Grant Rd
Mountain View, CA 94040
Phone (650) 903-9500

2500 Grant Rd
#240
Mountain View, CA 94040
Phone (650) 988-7903

625 Lincoln Ave
San Jose, CA 95126
Phone (408) 278-3003

9825 Kenwood Rd
Ste 105
Blue Ash, OH 45242
Phone (513) 527-0408

Interoperability endpoints

  • Direct secure messaging: iqureshi7648@icare.elcaminohospital.org

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 7

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": "1140048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607040000000",
    "number": "1215901061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15732 LOS GATOS BLVD",
            "address_2": "SUITE 1000",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322504",
            "telephone_number": "408-356-0683",
            "fax_number": "408-358-1629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20660 STEVENS CREEK BLVD",
            "address_2": "SUITE 333",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950142120",
            "telephone_number": "650-940-7173",
            "fax_number": "650-988-7838"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "625 Lincoln Ave",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951263785",
            "country_code": "US",
            "telephone_number": "408-871-5250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QURESHI",
        "first_name": "IMTIAZ",
        "middle_name": "LEWIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-16",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A78245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cupertino, CA

Sources for this page

Verify at the official NPI Registry.