NPIMap

Individual provider Active NPI

Muhammad Mustansar Qureshi, MD

  • Nephrology Physician
  • Decatur, IL
National Provider Identifier
1427042985
Registry record updated Sep 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
01056955A Issued in IN
Practice address
441 W Hay St
2ND Floor
Decatur, IL 62526-6324
Phone
(217) 876-6860
Fax
(217) 876-6868
NPI assigned
Sep 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 01056955A IN Primary

Addresses

Primary practice location

441 W Hay St
2ND Floor
Decatur, IL 62526-6324

Mailing address

2300 N Edward St
Gsbll
Decatur, IL 62526-4163
Phone (217) 876-2857

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060424000534 IL Practitioner - NephrologyPractitioner - Internal Medicine 5597775395 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Decatur Memorial HospitalGroup PAC ID 6204731144, 173 clinicians

Practice addresses (Care Compare)

301 W Hay St
Decatur, IL 62526-4162
Phone (217) 876-6860

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
73.88 of 100Reported as group
Quality
63.91
Improvement activities
40
Cost
77.03

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01056955AINMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Health Partners Current Accepting new patients
Springfield Clinic LLP Current Accepting new patients
Decatur Memorial Hospital Nephrology CurrentSince Apr 3, 2006 Accepting new patients
Decatur Memorial Hospital CurrentSince Apr 3, 2006 Accepting new patients

Locations

441 W Hay St
Fl 2
Decatur, IL 62526
Phone (217) 876-6860

2300 N Edward St
Decatur, IL 62526
Phone (217) 876-3000

301 W Hay St
Decatur, IL 62526
Phone (217) 876-6640

241 W Weaver Rd
Ste 145B
Forsyth, IL 62535
Phone (217) 876-5220

Interoperability endpoints

  • Direct secure messaging: muhammadqureshi@sfc.allscriptsdirect.net
  • Direct secure messaging: muhammadqureshi@memorial.allscriptsdirect.net

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 8

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": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409788800000",
    "number": "1427042985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 N EDWARD ST",
            "address_2": "GSBLL",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625264163",
            "telephone_number": "217-876-2857",
            "fax_number": "217-876-2874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 W HAY ST",
            "address_2": "2ND FLOOR",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625266324",
            "telephone_number": "217-876-6860",
            "fax_number": "217-876-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QURESHI",
        "first_name": "MUHAMMAD",
        "middle_name": "MUSTANSAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-09",
        "last_updated": "2014-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IN",
            "license": "01056955A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, IL

Sources for this page

Verify at the official NPI Registry.