Individual provider Active NPI

Muhammad Ehsan Qadir, M.D.

  • Internal Medicine Physician
  • Ansonia, CT
National Provider Identifier
1356340319
Registry record updated Mar 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
025164 Issued in CT
Practice address
22 Westfield Ave
Unit 1
Ansonia, CT 06401-1158
Phone
(203) 732-1677
Fax
(203) 732-1680
NPI assigned
Jul 20, 2005
Reactivated
Mar 24, 2006
Last updated
Mar 6, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 025164 CT Primary

Addresses

Primary practice location

22 Westfield Ave
Unit 1
Ansonia, CT 06401-1158

Mailing address

22 Westfield Ave
Unit 1
Ansonia, CT 06401-1158
Phone (203) 732-1677

Other identifiers 1

IdentifierTypeStateIssuer
001251644MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20081013000628 CT Practitioner - Internal MedicinePractitioner - Geriatric Medicine 1153499462 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Progressive Care Medical Group of CT, PLLCGroup PAC ID 5193113082, 2 clinicians

Practice addresses (Care Compare)

1141 Post Rd E
Westport, CT 06880-5444
Phone (203) 349-2002

14 2ND St
Stamford, CT 06905-5151
Phone (800) 860-3274

162 New Canaan Ave
Norwalk, CT 06850-1916
Phone (203) 989-4774

181 Clifton St
New Haven, CT 06513-3319
Phone (203) 907-3550

211 Danbury Rd
Wilton, CT 06897-4005
Phone (800) 860-3274

50 Ledge Rd
Darien, CT 06820-4439
Phone (203) 662-1090

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
025164CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Medical Group, Inc. Internal Medicine CurrentSince Jan 22, 2013 Accepting new patients
Progressive Care Medical Group of CT, PLLC Internal Medicine CurrentSince Aug 1, 2022 Accepting new patients
Unity Clinical Services Internal Medicine CurrentSince Nov 28, 2023 Accepting new patients
Mill Hill Medical Consultants Inc CurrentSince Jan 22, 2013 Accepting new patients

Locations

22 Westfield Ave
Ste 1
Ansonia, CT 06401
Phone (203) 308-2781

181 Clifton St
New Haven, CT 06513
Phone (203) 467-1666

95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388

112 Quarry Rd
Ste 150
Trumbull, CT 06611
Phone (203) 385-1166

1249 W Main St
Ste 3
Waterbury, CT 06708
Phone (475) 766-7633

150 Eileen Way
Unit 1
Syosset, NY 11791
Phone (516) 855-5255

Organizations & group practices 4

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.

Hospital & facility affiliations 7

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": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362528000000",
    "number": "1356340319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 WESTFIELD AVE",
            "address_2": "UNIT 1",
            "city": "ANSONIA",
            "state": "CT",
            "postal_code": "064011158",
            "telephone_number": "203-732-1677",
            "fax_number": "203-732-1680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 WESTFIELD AVE",
            "address_2": "UNIT 1",
            "city": "ANSONIA",
            "state": "CT",
            "postal_code": "064011158",
            "telephone_number": "203-732-1677",
            "fax_number": "203-732-1680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QADIR",
        "first_name": "MUHAMMAD",
        "middle_name": "EHSAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2013-03-06",
        "deactivation_date": "2006-03-20",
        "reactivation_date": "2006-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "025164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001251644",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ansonia, CT

Sources for this page

Verify at the official NPI Registry.