Active NPI
Akbar Adil Qureshi, M.D.
- Pediatrics Physician
- Kissimmee, FL
National Provider Identifier
1235138850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME69091
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BQ4676358 | Other | FL | US DEPT OF JUSTICE |
| 28366 | Other | FL | BLUE CROSS BLUE SHIELD |
| 379151300 | Medicaid | FL |
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
| License | State | Type | Specialty |
|---|---|---|---|
| ME69091 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Clinic/Center
- Kissimmee, FL
- NPI 1902069826
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.