Individual provider Active NPI

Nazer Qureshi, MD

  • Neurological Surgery Physician
  • Southington, CT
National Provider Identifier
1407978380
Registry record updated Dec 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
69889 Issued in CT
Practice address
55 Meriden Ave Ste 3G
Southington, CT 06489-3235
Phone
(860) 223-0800
Fax
(860) 223-0444
NPI assigned
Apr 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X MD-435536 PA
Neurological Surgery Physician 207T00000X E-5886 AR
Neurological Surgery Physician 207T00000X 4301093523 MI
Neurological Surgery Physician 207T00000X 69889 CT Primary

Addresses

Primary practice location

55 Meriden Ave Ste 3G
Southington, CT 06489-3235

Mailing address

1203 Langhorne Newtown Rd
Suite 138
Langhorne, PA 19047-1209
Phone (215) 741-3141

Other practice location 1

1203 Langhorne Newtown Rd
Suite 138
Langhorne, PA 19047-1209
Phone (215) 741-3141

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nazer.qureshi@pbs.eclinicaldirectplus.com

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
I20220125000993 CT Practitioner - Neurosurgery 8820152374 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hartford Healthcare Medical Group Specialists PLLCGroup PAC ID 3173866241, 1,555 clinicians

Practice addresses (Care Compare)

55 Meriden Ave
Suite 2a
Southington, CT 06489-3236
Phone (860) 628-0703

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.42 of 100Reported as group
Quality
83.36
Promoting interoperability
100
Improvement activities
40
Cost
75.9

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion50
Laminectomy or laminotomy (partial removal of spine bones)14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
69889CTMDNeurological Surgery Physician
4301093523MIMDNeurological Surgery Physician
MD-435536PAMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Mar 1, 2022 Accepting new patients
Hartford Healthcare Medical Group Specialists, PLLC Neurological Surgery CurrentSince Mar 1, 2022 Accepting new patients
Arkansas Health Group Past Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

201 N Mountain Rd
Plainville, CT 06062
Phone (860) 224-5416

55 Meriden Ave
Ste 2A
Southington, CT 06489
Phone (860) 628-0703

55 Meriden Ave
Ste 3G
Southington, CT 06489
Phone (860) 223-0800

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

Interoperability endpoints

  • Direct secure messaging: nazer.qureshi@pbs.eclinicaldirectplus.com
  • Direct secure messaging: nqureshi417545@xdr.hhchealthdirect.org

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 and National Provider Directory roles.

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": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640217600000",
    "number": "1407978380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 LANGHORNE NEWTOWN RD",
            "address_2": "SUITE 138",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471209",
            "telephone_number": "215-741-3141",
            "fax_number": "215-741-3142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 MERIDEN AVE STE 3G",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064893235",
            "telephone_number": "860-223-0800",
            "fax_number": "860-223-0444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1203 Langhorne Newtown Rd",
            "address_2": "Suite 138",
            "address_purpose": "LOCATION",
            "city": "Langhorne",
            "state": "PA",
            "postal_code": "190471209",
            "country_code": "US",
            "telephone_number": "215-741-3141",
            "fax_number": "215-741-3142",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QURESHI",
        "first_name": "NAZER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2021-12-23",
        "certification_date": "2021-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "PA",
            "license": "MD-435536",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "AR",
            "license": "E-5886",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MI",
            "license": "4301093523",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CT",
            "license": "69889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nazer.qureshi@pbs.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "1203 Langhorne Newtown Rd",
            "address_2": "Suite 138",
            "city": "Langhorne",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190471209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Southington, CT

Sources for this page

Verify at the official NPI Registry.