Individual provider Active NPI

Faisal M Qureshi, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Chicago, IL
National Provider Identifier
1336130483
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
2003022257 Issued in MO
Practice address
2800 N Sheridan Rd Ste 309
Chicago, IL 60657-6160
Phone
(773) 248-6913
NPI assigned
Oct 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 336057277 IL
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 2003022257 MO Primary

Addresses

Primary practice location

2800 N Sheridan Rd Ste 309
Chicago, IL 60657-6160

Mailing address

2800 N Sheridan Rd Ste 309
Chicago, IL 60657-6160

Other practice location 1

11155 Dunn Rd
Suite 109N
St Louis, MO 63136-6148
Phone (314) 953-8799

Other identifiers 1

IdentifierTypeStateIssuer
208371104MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address fqureshi21206@ce-direct.presencehealth.org

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031126000300 IL Practitioner - EndocrinologyPractitioner - Internal Medicine 6901700350 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Presence Healthcare ServicesGroup PAC ID 2860396769, 69 clinicians

Practice addresses (Care Compare)

2913 N Commonwealth Ave
Chicago, IL 60657-6211
Phone (773) 665-3080

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2003022257MOMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Presence Healthcare Services CurrentSince Feb 2, 2013 Accepting new patients
Presence Healthcare Services CurrentSince Feb 2, 2013 Accepting new patients
Presence Healthcare Services Current Accepting new patients
Fairview Heights Medical Group SC Past Accepting new patients
Presence Healthcare Services Past Accepting new patients

Locations

1000 Remington Blvd
Ste 100
Bolingbrook, IL 60440
Phone (630) 914-2417

331 W Surf St
Ste 801
Chicago, IL 60657

2800 N Sheridan Rd
Ste 309
Chicago, IL 60657
Phone (773) 248-6913

2800 N Sheridan Rd
Ste 60
Chicago, IL 60657
Phone (773) 525-8846

62311 Collection Ctr Dr
Chicago, IL 60693

2913 N Commonwealth Ave
Chicago, IL 60657
Phone (773) 665-3080

Interoperability endpoints

  • Direct secure messaging: fqureshi21206@ce-direct.presencehealth.org

Organizations & group practices 5

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 1

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": "1130457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1336130483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 N SHERIDAN RD STE 309",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606576160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 N SHERIDAN RD STE 309",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606576160",
            "telephone_number": "773-248-6913"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11155 Dunn Rd",
            "address_2": "Suite 109N",
            "address_purpose": "LOCATION",
            "city": "St Louis",
            "state": "MO",
            "postal_code": "631366148",
            "country_code": "US",
            "telephone_number": "314-953-8799",
            "fax_number": "314-953-8798",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QURESHI",
        "first_name": "FAISAL",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-28",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "IL",
            "license": "336057277",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MO",
            "license": "2003022257",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208371104",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "fqureshi21206@ce-direct.presencehealth.org",
            "affiliation": "N",
            "address_1": "2800 N Sheridan Rd Ste 309",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606576160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.