Individual provider Active NPI

Nazneen M Quadri, M.D.

  • Pediatrics Physician
  • Kettering, OH
National Provider Identifier
1326127358
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35062363Q Issued in OH
Practice address
5692 Far Hills Ave
Suite 3
Kettering, OH 45429-2239
Phone
(937) 428-0020
Fax
(937) 428-0023
NPI assigned
Nov 2, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35062363Q OH Primary

Addresses

Primary practice location

5692 Far Hills Ave
Suite 3
Kettering, OH 45429-2239

Mailing address

5692 Far Hills Ave
Suite 3
Kettering, OH 45429-2239
Phone (937) 428-0020

Other identifiers 1

IdentifierTypeStateIssuer
0869341MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35062363QOHMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326127358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5692 FAR HILLS AVE",
            "address_2": "SUITE 3",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454292239",
            "telephone_number": "937-428-0020",
            "fax_number": "937-428-0023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5692 FAR HILLS AVE",
            "address_2": "SUITE 3",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454292239",
            "telephone_number": "937-428-0020",
            "fax_number": "937-428-0023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUADRI",
        "first_name": "NAZNEEN",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35062363Q",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0869341",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kettering, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.