Active NPI
Abdul Sami Qazi, M.D.
- Hospitalist Physician
- Plymouth, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 01079521A
- 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, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000001142877 | Other | IN | BCBS |
| 300009791 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Hospitalist Physicians, LLP | Current | Accepting new patients | |
| Southwest Medical Center | Current | Accepting new patients | |
| Apogee Medical Group Indiana PC | Current | Accepting new patients | |
| Ies HSP Indiana LLC | Hospitalist | Current | Accepting new patients |
| Southwest Medical Center | Current | Accepting new patients | |
| Galen Inpatient Physicians PC | Hospitalist | Current | Accepting new patients |
| Reid Physician Associates, Inc. | Current | Accepting new patients | |
| Southwest Medical Center | Current | Accepting new patients | |
| Hospitalist Physicians of Indiana, PC | Family Medicine | Current | Accepting new patients |
| Northwest Hospitalist Physicians LLP | Hospitalist | Current | Accepting new patients |
| Reid Physician Associates, Inc | Current | Accepting new patients | |
| Impact Physician Group, Indiana LLC | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of Indiana, LLC | Current | Accepting new patients | |
| Galen Inpatient Physicians, PC | Hospitalist | Current | 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
- aqazi485349@reidhealth.direct-ci.com
- 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.
-
- Hospitalist Physician
- Franklin, IN
- NPI 1134954647
-
- Internal Medicine Physician
- Carmel, IN
- NPI 1568930220
-
dba Reid Health Physician Associates
- Internal Medicine Physician
- Richmond, IN
- NPI 1265689111
-
- Internal Medicine Physician
- Goshen, IN
- NPI 1093973885
-
- Hospitalist Physician
- Terre Haute, IN
- NPI 1871178368
-
- Hospitalist Physician
- Fort Wayne, IN
- NPI 1306576277
Family Medicine
-
- Emergency Medicine Physician
- Bloomington, IN
- NPI 1023448321
-
- Internal Medicine Physician
- Brentwood, TN
- NPI 1720416555
IN
-
dba Southwest Professional Physicians
- Surgery Physician
- Liberal, KS
- NPI 1144493040
-
- Hospitalist Physician
- La Porte, IN
- NPI 1326415423
-
dba Reid Health X-Ray Winchester
- Radiology Clinic/Center
- Winchester, IN
- NPI 1417653221
-
- Hospitalist Physician
- Los Angeles, CA
- NPI 1205787686
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Franklin, IN
- NPI 1346248986
-
dba JMH Immediate/Occupation Health
- Occupational Medicine Clinic/Center
- Franklin, IN
- NPI 1679577357
Hospital
-
dba Reid Health
- General Acute Care Hospital
- Richmond, IN
- NPI 1063457380
-
dba Skilled Nursing Facility
- Skilled Nursing Facility
- Liberal, KS
- NPI 1407890692
Nursing home
-
- General Acute Care Hospital
- Liberal, KS
- NPI 1538109251
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.