Active NPI
Athens Internal Medicine and Nephrology
- Specialist
- Athens, AL
National Provider Identifier
1306919014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 10609
- Legal business name
- ATHENS INTERNAL MEDICINE AND NEPHROLOGY
- Practice address
- 1005 W Market St Ste 16
Athens, AL 35611-2454 - Phone
- (256) 232-0801
- Fax
- (256) 232-5918
- NPI assigned
- Nov 17, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Nauman Qureshi, M.D.
- Title
- Presidient
- Phone
- (256) 232-0801
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 10609 | AL | Primary |
Addresses
Primary practice location
1005 W Market St Ste 16
Athens, AL 35611-2454
Mailing address
1005 W Market St Ste 16
Athens, AL 35611-2454
Phone (256) 232-0801
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060112000706 | AL | Part B Supplier - Clinic/Group Practice | 2567485840 |
Receives reassigned benefits from 4 practitioners Practice locations: Athens, AL |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 01D0302347 | Athens Internal Medicine & Nephrology | Certificate of waiver | Apr 22, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Adult Health Nurse Practitioner
- Athens, AL
- NPI 1073533717
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1306919014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1005 W MARKET ST STE 16",
"city": "ATHENS",
"state": "AL",
"postal_code": "356112454",
"telephone_number": "256-232-0801",
"fax_number": "256-232-5918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1005 W MARKET ST STE 16",
"city": "ATHENS",
"state": "AL",
"postal_code": "356112454",
"telephone_number": "256-232-0801",
"fax_number": "256-232-5918"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ATHENS INTERNAL MEDICINE AND NEPHROLOGY",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-17",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "QURESHI",
"authorized_official_first_name": "NAUMAN",
"authorized_official_title_or_position": "PRESIDIENT",
"authorized_official_telephone_number": "256-232-0801",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": "AL",
"license": "10609",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Athens, AL
- Athens Eye Clinic, PC
- Athens Family Care, Dba
- Athens Family Care, LLC
- Athens Family Medicine
- Athens Health and Rehabilitation LLC
- Athens Limestone Center for Digestive & Liver Health
- Athens Limestone Health Services
- Athens Limestone Health Services
- Athens Limestone Health Services
- Athens Limestone Health Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.