Individual provider Active NPI

Gulafsheen Jabbar Quadri, MD

  • Psychiatry Physician
  • Dundalk, MD
National Provider Identifier
1316437247
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
D91780 Issued in MD
Practice address
2 N Dundalk Ave
Dundalk, MD 21222-4221
Phone
(410) 299-6928
NPI assigned
May 16, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X D91780 MD
Psychiatry Physician 2084P0800X D91780 MD Primary

Addresses

Primary practice location

2 N Dundalk Ave
Dundalk, MD 21222-4221

Mailing address

2 N Dundalk Ave
Dundalk, MD 21222-4221
Phone (443) 564-5005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20231121000790 MD Practitioner - Psychiatry 1759639172 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2 N Dundalk Ave
Dundalk, MD 21222-4221
Phone (667) 600-3680

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D91780MDMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Catholic Charities, Inc. Current Accepting new patients
Associated Catholic Charities CurrentSince Oct 4, 2023 Accepting new patients
Associated Catholic Charities, Inc CurrentSince Oct 4, 2023 Accepting new patients

Locations

308 Virginia Ave
Cumberland, MD 21502
Phone (667) 600-2110

2 N Dundalk Ave
Dundalk, MD 21222
Phone (410) 288-4356

2700 Washington Ave
Lansdowne, MD 21227
Phone (667) 600-3984

2300 Dulaney Valley Rd
Ste B
Timonium, MD 21093

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1526428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1316437247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 N DUNDALK AVE",
            "city": "DUNDALK",
            "state": "MD",
            "postal_code": "212224221",
            "telephone_number": "443-564-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 N DUNDALK AVE",
            "city": "DUNDALK",
            "state": "MD",
            "postal_code": "212224221",
            "telephone_number": "410-299-6928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUADRI",
        "first_name": "GULAFSHEEN",
        "middle_name": "JABBAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-16",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MD",
            "license": "D91780",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D91780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dundalk, MD

Sources for this page

Verify at the official NPI Registry.