Individual provider Active NPI

Ihtesham Aatif Qureshi

  • Neurology Physician
  • Hannibal, MO
National Provider Identifier
1275989543
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
2021013716 Issued in MO
Practice address
6500 Hospital Dr
Hannibal, MO 63401-6890
Phone
(573) 629-3500
Fax
(573) 629-3515
NPI assigned
May 5, 2016
Last updated
Apr 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Neurology Physician 2084N0400X 2021013716 MO Primary
Neurology Physician 2084N0400X 75387 TN
Neurology Physician 2084N0400X 01095622A IN

Addresses

Primary practice location

6500 Hospital Dr
Hannibal, MO 63401-6890

Mailing address

6500 Hospital Dr
Hannibal, MO 63401-6890
Phone (573) 629-3500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL, IN, WI, TN5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20211013001739 MO Practitioner - NeurologyPractitioner - Psychiatry 4284032715 Reassigns benefits to 2 organizations
I20250513001666 IL Practitioner - Neuropsychiatry 4284032715 Reassigns benefits to 3 organizations
I20250530002520 IN Practitioner - Neurology 4284032715 Reassigns benefits to 1 organization
I20260311002055 WI Practitioner - Neurology 4284032715 Reassigns benefits to 2 organizations
I20260513004457 TN Practitioner - Neurology 4284032715 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nuview Telehealth LLCGroup PAC ID 8022166974, 97 clinicians
Rockford Health PhysiciansGroup PAC ID 2567374036, 520 clinicians
Nuview Health Indiana PCGroup PAC ID 6103169966, 43 clinicians

Practice addresses (Care Compare)

110 Hospital Dr
Jefferson City, TN 37760-5281
Phone (865) 471-2500

3100 Oak Grove Rd
Poplar Bluff, MO 63901-1573
Phone (561) 299-3667

6500 Hospital Dr
Hannibal, MO 63401-6890
Phone (573) 248-1300

8201 E Riverside Blvd
Rockford, IL 61114-2300
Phone (815) 971-2000

85 E US Hwy 6
Valparaiso, IN 46383-8947
Phone (561) 299-3667

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
75387TNMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hannibal Regional Healthcare System Inc CurrentSince Nov 1, 2021 Accepting new patients
Access Telecare, PLLC Neurology CurrentSince Feb 7, 2024 Accepting new patients
Rockford Health Physicians CurrentSince May 1, 2025 Accepting new patients
Mercy Harvard Hospital Inc CurrentSince Jan 20, 2026 Accepting new patients
Hannibal Regional Healthcare System, Inc CurrentSince Nov 1, 2021 Accepting new patients
Nuview Health Indiana PC CurrentSince Jun 13, 2025 Accepting new patients
Mercy Harvard Hospital Inc CurrentSince Jan 20, 2026 Accepting new patients
Nuview Telehealth, LLC Neurology CurrentSince May 1, 2025 Accepting new patients
Mercy Health System Corporation CurrentSince May 1, 2025 Accepting new patients
Mercy Health System Corporation CurrentSince May 1, 2025 Accepting new patients
Hannibal Regional Healthcare System, Inc Past Accepting new patients

Locations

1825 NW Corporate Blvd
Ste 105
Boca Raton, FL 33431
Phone 5612993667205

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

875 S State Route 31
Crystal Lake, IL 60014
Phone (779) 220-5500

348 S Division St
Harvard, IL 60033
Phone (815) 943-1122

901 Grant St
Harvard, IL 60033
Phone (815) 943-2961

2300 N Rockton Ave
Rockford, IL 61103

2400 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-6310

8201 E Riverside Blvd
Rockford, IL 61114
Phone (815) 971-4066

1331 State St
Laporte, IN 46350
Phone (219) 326-2415

85 E US Highway 6
Valparaiso, IN 46383
Phone (219) 983-5743

1700 Rainbow Blvd
Exclsor Sprgs, MO 64024

6500 Hospital Dr
Hannibal, MO 63401
Phone (573) 629-3400

6500 Hospital Dr
#2F
Hannibal, MO 63401

315 S Osteopathy Ave
Kirksville, MO 63501
Phone (660) 785-1000

3100 Oak Grove Rd
Rombauer, MO 63901
Phone (573) 776-2000

110 Hospital Dr
Jefferson Cty, TN 37760
Phone (865) 471-2431

435 2nd St
Newport, TN 37821
Phone (423) 625-2200

1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868

N2950 State Road 67
Lake Geneva, WI 53147
Phone (262) 245-0535

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10040602
  • Direct secure messaging: ihteshamqureshi@hrmg.allscriptsdirect.net
  • Direct secure messaging: itesham.qureshi@direct.myhealthep.org

Organizations & group practices 11

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 4

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": "1462406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1275989543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 HOSPITAL DR",
            "city": "HANNIBAL",
            "state": "MO",
            "postal_code": "634016890",
            "telephone_number": "573-629-3500",
            "fax_number": "573-629-3515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 HOSPITAL DR",
            "city": "HANNIBAL",
            "state": "MO",
            "postal_code": "634016890",
            "telephone_number": "573-629-3500",
            "fax_number": "573-629-3515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QURESHI",
        "first_name": "IHTESHAM",
        "middle_name": "AATIF",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-05",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MO",
            "license": "2021013716",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TN",
            "license": "75387",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IN",
            "license": "01095622A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hannibal, MO

Sources for this page

Verify at the official NPI Registry.