Humayun Quadir, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

R7576 Issued in MO

Practice address

10004 Kennerly Rd Ste 361B
Saint Louis, MO 63128-2141

Phone

(314) 843-3449

Fax

(314) 843-8762

NPI assigned

Nov 8, 2005

Last updated

Aug 20, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Renal Alliance, LLC

  • Nephrology Physician
  • Saint Louis, MO
  • NPI 1639141625
  NPD (past)
• Renal Treatment Centers-Illinois, Inc

  dba Norwood Park Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Chicago, IL
  • NPI 1396216206
  NPD (past)

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1265413223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840132",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641840132",
            "telephone_number": "314-843-3449",
            "fax_number": "314-843-8762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10004 KENNERLY RD STE 361B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282141",
            "telephone_number": "314-843-3449",
            "fax_number": "314-843-8762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUADIR",
        "first_name": "HUMAYUN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-08",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MO",
            "license": "R7576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "826111272",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200391308",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "@HQuadir.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10004 Kennerly Rd",
            "address_2": "STE 315A",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631282141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Amer Adnan Qolaghassi, M.D.
• Qor Medical Group LLC (Qor Health & Wellness)
• Xuan Qu
• Darin Chia Fay Quach, DO
• Nishath Quader, MD
• Quadri Behavioral LLC
• Humza Omar Quadri, MD
• Nabiha Quadri
• Huzaifa Quaizar, M.D.
• Qual-T-Med, Inc

• Nephrology Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Nephrology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; 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.