Individual provider Active NPI

Abdul Sami Qazi, M.D.

  • Hospitalist Physician
  • Plymouth, IN
National Provider Identifier
1366508228
Registry record updated Jul 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
01079521A Issued in IN
Practice address
1915 Lake Ave
Plymouth, IN 46563-9366
Phone
(574) 948-4000
Fax
(574) 948-5454
NPI assigned
Dec 28, 2006
Last updated
Jul 14, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01079521A IN
Hospitalist Physician 208M00000X 01079521A IN Primary

Addresses

Primary practice location

1915 Lake Ave
Plymouth, IN 46563-9366

Mailing address

5218 Beck Dr Ste 12
Elkhart, IN 46516-9132
Phone (574) 335-7700

Other practice location 1

513 3rd St SW
Wagner, SD 57380-0280
Phone (605) 384-3418

Other identifiers 2

IdentifierTypeStateIssuer
000001142877OtherINBCBS
300009791MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180112001357 IN Practitioner - HospitalistPractitioner - Family Practice 8022110287 Reassigns benefits to 8 organizations
I20250922003466 KS Practitioner - Family Practice 8022110287 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Family Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reid Physician Associates IncGroup PAC ID 6406910769, 427 clinicians
Ies HSP Indiana LLCGroup PAC ID 4486189040, 25 clinicians
Impact Physician Group Indiana LLCGroup PAC ID 6608111026, 25 clinicians

Practice addresses (Care Compare)

1100 Reid Pkwy
Richmond, IN 47374-1157
Phone (765) 983-3122

1125 W Jefferson St
Franklin, IN 46131-2140
Phone (317) 736-3300

4807 Edison Lakes Pkwy
Mishawaka, IN 46545-1112
Phone (574) 243-7727

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Hospitalist Physicians, LLP Current Accepting new patients
Southwest Medical Center CurrentSince Sep 15, 2025 Accepting new patients
Apogee Medical Group Indiana PC CurrentSince Oct 1, 2019 Accepting new patients
Ies HSP Indiana LLC Hospitalist CurrentSince Jan 6, 2025 Accepting new patients
Southwest Medical Center Current Accepting new patients
Galen Inpatient Physicians PC Hospitalist CurrentSince Aug 1, 2021 Accepting new patients
Reid Physician Associates, Inc. CurrentSince Jan 6, 2025 Accepting new patients
Southwest Medical Center CurrentSince Sep 15, 2025 Accepting new patients
Hospitalist Physicians of Indiana, PC Family Medicine CurrentSince Jan 5, 2023 Accepting new patients
Northwest Hospitalist Physicians LLP Hospitalist CurrentSince Jan 26, 2020 Accepting new patients
Reid Physician Associates, Inc CurrentSince Jan 6, 2025 Accepting new patients
Impact Physician Group, Indiana LLC CurrentSince Jan 1, 2026 Accepting new patients
Hospitalist Medicine Physicians of Indiana, LLC CurrentSince Mar 1, 2022 Accepting new patients
Galen Inpatient Physicians, PC Hospitalist CurrentSince Aug 1, 2021 Accepting new patients
Saint Joseph Regional Medical Center, Inc. Past Accepting new patients
Southwest Medical Center Past Accepting new patients
Saint Joseph Regional Medical Center- Plymouth Campus Inc Family Medicine Past Accepting new patients
Rural Physicians Group-Pannu PLLC Family Medicine Past Accepting new patients

Locations

3050 N Lintel Dr
Bloomington, IN 47404
Phone (812) 336-2815

601 W 2nd St
Bloomington, IN 47403
Phone (812) 353-5252

13219 N Meridian St
Carmel, IN 46032
Phone (765) 751-5253

600 East Blvd
Elkhart, IN 46514
Phone (574) 294-2621

7950 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 434-7088

7952 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 435-2836

1125 W Jefferson St
Franklin, IN 46131
Phone (317) 346-3858

200 High Park Ave
Goshen, IN 46526
Phone (219) 533-2141

102 E Culver Rd
Knox, IN 46534
Phone (574) 772-1580

1007 Lincolnway
Laporte, IN 46350
Phone (219) 325-5474

1331 State St
Laporte, IN 46350
Phone (219) 326-2415

4807 Edison Lakes Pkwy
Mishawaka, IN 46545
Phone (574) 243-7727

5215 Holy Cross Pkwy
Mishawaka, IN 46545
Phone (574) 335-2443

1850 State St
New Albany, IN 47150
Phone (812) 944-7701

1915 Lake Ave
Plymouth, IN 46563
Phone (219) 936-3181

1100 Reid Pkwy
Richmond, IN 47374
Phone (765) 983-3000

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

3901 S 7th St
Terre Haute, IN 47802
Phone (812) 232-0021

85 E US Highway 6
Valparaiso, IN 46383
Phone (219) 983-5743

520 S 7th St
Vincennes, IN 47591
Phone (812) 885-3280

315 W 15th St
Liberal, KS 67901
Phone (620) 624-1651

Interoperability endpoints

  • Direct secure messaging: aqazi485349@reidhealth.direct-ci.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/JGBGAA

Organizations & group practices 18

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.

View all 18

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": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626220800000",
    "number": "1366508228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5218 BECK DR STE 12",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465169132",
            "telephone_number": "574-335-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 LAKE AVE",
            "city": "PLYMOUTH",
            "state": "IN",
            "postal_code": "465639366",
            "telephone_number": "574-948-4000",
            "fax_number": "574-948-5454"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "513 3rd St SW",
            "address_purpose": "LOCATION",
            "city": "Wagner",
            "state": "SD",
            "postal_code": "573800280",
            "country_code": "US",
            "telephone_number": "605-384-3418",
            "fax_number": "605-384-5240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QAZI",
        "first_name": "ABDUL",
        "middle_name": "SAMI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01079521A",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IN",
            "license": "01079521A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000001142877",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300009791",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, IN

Sources for this page

Verify at the official NPI Registry.