Individual provider Active NPI

Uneeb Ahmed Qureshi, MD

  • Otolaryngology Physician
  • Phoenix, AZ
National Provider Identifier
1376049262
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
71753 Issued in AZ
Practice address
4212 N 16TH St
Phoenix, AZ 85016-5319
Phone
(602) 263-1200
Fax
(602) 263-1619
NPI assigned
Apr 1, 2018
Last updated
May 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 71753 AZ Primary
Otolaryngology Physician 207Y00000X 7861574 ID
Otolaryngology Physician 207Y00000X A164031 CA
Otolaryngic Allergy Physician 207YX0602X 71753 AZ

Addresses

Primary practice location

4212 N 16TH St
Phoenix, AZ 85016-5319

Mailing address

PO Box 95460
Cleveland, OH 44101-0033
Phone (602) 581-6076

Other practice location 1

1200 N Beaver St
Flagstaff, AZ 86001-3118
Phone (928) 639-7969

Other practice location 2

2051 W Chandler Blvd Ste 5
Chandler, AZ 85224-6239
Phone (480) 214-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX, ID, AZ4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20240911001221 CA Practitioner - Otolaryngology 0345780821 Reassigns benefits to 1 organization
I20241011000274 TX Practitioner - Otolaryngology 0345780821 Reassigns benefits to 1 organization
I20241119001339 ID Practitioner - Otolaryngology 0345780821 Reassigns benefits to 1 organization
I20241119001954 AZ Practitioner - Otolaryngology 0345780821 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Uniformed Services Uhs Fe Hebert School of Med, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Enticare PCGroup PAC ID 2264532779, 19 clinicians
Telemedicine Group PCGroup PAC ID 9830351824, 94 clinicians
St Lukes Clinic LLCGroup PAC ID 1052217478, 313 clinicians

Practice addresses (Care Compare)

1200 N Beaver St
Flagstaff, AZ 86001-3118
Phone (928) 779-3366

2051 W Chandler Blvd
Suite 5
Chandler, AZ 85224-6239
Phone (480) 214-9000

269 S Candy LN
Cottonwood, AZ 86326-4158
Phone (928) 639-6000

3400 Douglas Blvd
Suite 170
Roseville, CA 95661-4281
Phone (916) 740-3721

4212 N 16TH St
Phoenix, AZ 85016-5319
Phone (602) 263-1200

625 Pole Line Rd W
Twin Falls, ID 83301-4270

746 N College Rd
Twin Falls, ID 83301-3486

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A164031CAMDOtolaryngology Physician
7861574IDMDOtolaryngology Physician
71753AZMDOtolaryngic Allergy Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm CurrentSince Aug 19, 2024 Accepting new patients
Telehealth Specialty Medical Group CurrentSince Aug 23, 2024 Accepting new patients
Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm CurrentSince Aug 19, 2024 Accepting new patients
Enticare PC CurrentSince Dec 1, 2024 Accepting new patients
St Luke's Clinic LLC CurrentSince Nov 12, 2024 Accepting new patients
Central Washington Health Services Association Current Accepting new patients
Central Washington Health Services Association CurrentSince Apr 1, 2025 Accepting new patients
Sjhmc Physician Services PastSince Jan 30, 2018 Accepting new patients
Ozark Tri-County Health Care Consortium Otolaryngology Past Accepting new patients
Tele-Medicine Services Ny, PLLC PastSince Apr 27, 2025 Accepting new patients
St Luke's Magic Valley Regional Medical Center LTD PastSince Nov 1, 2024 Accepting new patients
Jayapal a Reddy MD and Radha T Reddy MD Inc PastSince Jul 1, 2015 Accepting new patients

Locations

2051 W Chandler Blvd
Ste 5
Chandler, AZ 85224
Phone (480) 672-2964

1200 N Beaver St
Flagstaff, AZ 86001
Phone (928) 213-6235

4212 N 16th St
Phoenix, AZ 85016
Phone (602) 248-4187

9471 Haven Ave
Ste 140
Rch Cucamonga, CA 91730
Phone (909) 474-2333

3400 Douglas Blvd
Ste 170
Roseville, CA 95661
Phone (855) 446-8628

3400 Douglas Blvd
Ste 225
Roseville, CA 95661
Phone (916) 740-3721

190 E Bannock St
Boise, ID 83712
Phone (208) 381-2378

625 Pole Line Rd W
Ste 2B
Twin Falls, ID 83301
Phone (208) 814-5300

746 N College Rd
Ste D
Twin Falls, ID 83301
Phone (208) 814-7230

820 N Chelan Ave
Wenatchee, WA 98801
Phone (509) 863-4868

933 Red Apple Rd
Wenatchee, WA 98801
Phone (509) 655-6125

Interoperability endpoints

  • Direct secure messaging: quneed99203@edirect.chehr.org
  • Direct secure messaging: telemed2u.uneebqureshi@160918.advancedmd-direct.com
  • Direct secure messaging: uqureshi257316@direct.llu.edu

Organizations & group practices 13

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 13

Hospital & facility affiliations 2

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": "1522540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778630400000",
    "number": "1376049262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95460",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441010033",
            "telephone_number": "602-581-6076",
            "fax_number": "602-263-1619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4212 N 16TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850165319",
            "telephone_number": "602-263-1200",
            "fax_number": "602-263-1619"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 N Beaver St",
            "address_purpose": "LOCATION",
            "city": "Flagstaff",
            "state": "AZ",
            "postal_code": "860013118",
            "country_code": "US",
            "telephone_number": "928-639-7969",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2051 W Chandler Blvd Ste 5",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852246239",
            "country_code": "US",
            "telephone_number": "480-214-9000",
            "fax_number": "480-214-9999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QURESHI",
        "first_name": "UNEEB",
        "middle_name": "AHMED",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-01",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "AZ",
            "license": "71753",
            "primary": true
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "ID",
            "license": "7861574",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "A164031",
            "primary": false
        },
        {
            "code": "207YX0602X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngic Allergy",
            "state": "AZ",
            "license": "71753",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.