Active NPI
Asma Qamruddin, MD
- Public Health & General Preventive Medicine Physician
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health & General Preventive Medicine Physician
- License
- S2017-0540
- Practice address
- 1 University of New Mexico # 105550
Albuquerque, NM 87131-1143 - Phone
- (505) 272-1443
- Fax
- (505) 272-5958
- NPI assigned
- Jun 1, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 125.075351 | IL | |
| Public Health & General Preventive Medicine Physician | 2083P0901X | S2017-0540 | NM | Primary |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | XYZ | NM |
Addresses
Primary practice location
1 University of New Mexico # 105550
Albuquerque, NM 87131-1143
Mailing address
30W221 Meade Rd
West Chicago, IL 60185-1115
Phone (847) 766-7480
Other practice location 1
1775 Dempster St
Park Ridge, IL 60068-1143
Phone (847) 723-2210
Other practice location 2
Msc Pediatrics Neonatology 1 University Of
Albuquerque, NM 87131-0001
Phone (505) 272-5551
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Preventive Medicine
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10137 Grand Ave
Franklin Park, IL 60131-2548
Phone (847) 451-7590
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125.075351 | IL | MD | Neonatal-Perinatal Medicine Physician |
| XYZ | NM | MD | Neonatal-Perinatal Medicine Physician |
| S2017-0540 | NM | MD | Public Health & General Preventive Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Current Care of Illinois PC | Single Specialty | Current | Accepting new patients |
Locations
10137 Grand Ave
Franklin Park, IL 60131
Phone (847) 451-7590
5080 Spectrum Dr
Ste 1200W
Addison, TX 75001
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.
-
- Urgent Care Clinic/Center
- Addison, TX
- NPI 1285071241
IL, Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625529600000",
"number": "1306374483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30W221 MEADE RD",
"city": "WEST CHICAGO",
"state": "IL",
"postal_code": "601851115",
"telephone_number": "847-766-7480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 UNIVERSITY OF NEW MEXICO # 105550",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871311143",
"telephone_number": "505-272-1443",
"fax_number": "505-272-5958"
}
],
"practiceLocations": [
{
"address_1": "1775 Dempster St",
"address_purpose": "LOCATION",
"city": "Park Ridge",
"state": "IL",
"postal_code": "600681143",
"country_code": "US",
"telephone_number": "847-723-2210",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "Msc Pediatrics Neonatology 1 University Of",
"address_purpose": "LOCATION",
"city": "Albuquerque",
"state": "NM",
"postal_code": "871310001",
"country_code": "US",
"telephone_number": "505-272-5551",
"fax_number": "505-272-6845",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "QAMRUDDIN",
"first_name": "ASMA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-01",
"last_updated": "2021-07-06",
"certification_date": "2021-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "IL",
"license": "125.075351",
"primary": false
},
{
"code": "2083P0901X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "NM",
"license": "S2017-0540",
"primary": true
},
{
"code": "2080N0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "NM",
"license": "XYZ",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.