Individual provider Active NPI

Akbar Adil Qureshi, M.D.

  • Pediatrics Physician
  • Kissimmee, FL
National Provider Identifier
1235138850
Registry record updated Mar 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME69091 Issued in FL
Practice address
2901 E Irlo Bronson Memorial Hwy Ste B
Kissimmee, FL 34744-5600
Phone
(407) 344-0021
Fax
(407) 344-0043
NPI assigned
Jul 15, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X ME69091 FL Primary

Addresses

Primary practice location

2901 E Irlo Bronson Memorial Hwy Ste B
Kissimmee, FL 34744-5600

Mailing address

2200 E Irlo Bronson Memorial Hwy Ste 101
Kissimmee, FL 34744-4410
Phone (407) 344-0021

Other practice location 1

13802 Landstar Blvd Ste 109
Orlando, FL 32824-5500
Phone (407) 569-3292

Other identifiers 3

IdentifierTypeStateIssuer
BQ4676358OtherFLUS DEPT OF JUSTICE
28366OtherFLBLUE CROSS BLUE SHIELD
379151300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME69091FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
BVL Pediatrics LLC Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583107200000",
    "number": "1235138850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 E IRLO BRONSON MEMORIAL HWY STE 101",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347444410",
            "telephone_number": "407-344-0021",
            "fax_number": "407-344-0043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 E IRLO BRONSON MEMORIAL HWY STE B",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347445600",
            "telephone_number": "407-344-0021",
            "fax_number": "407-344-0043"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13802 Landstar Blvd Ste 109",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328245500",
            "country_code": "US",
            "telephone_number": "407-569-3292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QURESHI",
        "first_name": "AKBAR",
        "middle_name": "ADIL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-15",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME69091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF JUSTICE",
            "identifier": "BQ4676358",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "28366",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "379151300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.