Individual provider Active NPI

Saadia Qureshi, MD

  • Internal Medicine Physician
  • Radcliff, KY
National Provider Identifier
1386047520
Registry record updated Dec 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
42993 Issued in KY
Practice address
800W Lincoln Trail Blvd 102
Radcliff, KY 40160-2671
Phone
(270) 351-3515
Fax
(270) 351-7506
NPI assigned
Oct 2, 2014
Last updated
Dec 1, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2015

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 42993 KY Primary

Addresses

Primary practice location

800W Lincoln Trail Blvd 102
Radcliff, KY 40160-2671

Mailing address

800 W Lincoln Trail Blvd
Suite 102
Radcliff, KY 40160-2671
Phone (270) 351-3515

Other identifiers 1

IdentifierTypeStateIssuer
7100310080MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Joseph Health System, Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: saadia.qureshi.1@15287.direct.athenahealth.com
  • Direct secure messaging: squreshi343026@direct.stlukeshealth.org

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1412208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448928000000",
    "number": "1386047520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W LINCOLN TRAIL BLVD",
            "address_2": "SUITE 102",
            "city": "RADCLIFF",
            "state": "KY",
            "postal_code": "401602671",
            "telephone_number": "270-351-3515",
            "fax_number": "270-351-7506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800W LINCOLN TRAIL BLVD 102",
            "city": "RADCLIFF",
            "state": "KY",
            "postal_code": "401602671",
            "telephone_number": "270-351-3515",
            "fax_number": "270-351-7506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QURESHI",
        "first_name": "SAADIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-02",
        "last_updated": "2015-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "42993",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100310080",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Radcliff, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.