Individual provider Active NPI

Irum Alisia Qureshi, M.D.

  • Specialist
  • Metairie, LA
National Provider Identifier
1306943857
Registry record updated Feb 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD200143 Issued in LA
Practice address
3225 Danny Park
Suite 100
Metairie, LA 70002-5776
Phone
(504) 889-0550
Fax
(504) 889-0582
NPI assigned
Sep 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD200143 LA Primary

Addresses

Primary practice location

3225 Danny Park
Suite 100
Metairie, LA 70002-5776

Mailing address

3225 Danny Park
Suite 100
Metairie, LA 70002-5776
Phone (504) 889-0550

Other identifiers 1

IdentifierTypeStateIssuer
1049221MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20070216000352 LA Practitioner - Allergy/Immunology 5496857716 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
A a and I, LLCGroup PAC ID 7719033802, 3 clinicians

Practice addresses (Care Compare)

160 Greenbrier Blvd
Covington, LA 70433-7233
Phone (985) 893-5780

Hospital & facility affiliations

  • St Tammany Parish Hospital Hospital, Covington, LA, CCN 190045
  • Ochsner Medical Center Acute Hospital, New Orleans, LA, CCN 190036
  • North Oaks Medical Center Hospital, Hammond, LA, CCN 190015

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD200143LAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
A a & I LLC CurrentSince Jul 10, 2009 Accepting new patients
S. Tahseen Rab MD Apllc PastSince Jul 10, 2023 Accepting new patients

Locations

160 Greenbrier Blvd
Covington, LA 70433
Phone (985) 340-7868

187 Greenbrier Blvd
Ste A
Covington, LA 70433
Phone (985) 269-7676

160 Greenbrier Blvd
Ste A
Covington, LA 70433

Organizations & group practices 2

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.

Hospital & facility affiliations 5

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": "1158624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203984000000",
    "number": "1306943857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3225 DANNY PARK",
            "address_2": "SUITE 100",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700025776",
            "telephone_number": "504-889-0550",
            "fax_number": "504-889-0582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3225 DANNY PARK",
            "address_2": "SUITE 100",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700025776",
            "telephone_number": "504-889-0550",
            "fax_number": "504-889-0582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QURESHI",
        "first_name": "IRUM",
        "middle_name": "ALISIA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-19",
        "last_updated": "2008-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "MD200143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1049221",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.