Individual provider Active NPI

Humaira Quedess, MD

  • Family Medicine Physician
  • Lynchburg, VA
National Provider Identifier
1427742378
Registry record updated Jun 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0116038164 Issued in VA
Practice address
2323 Memorial Ave Ste 10
Lynchburg, VA 24501-2652
Phone
(434) 200-5200
NPI assigned
Jun 5, 2023
Last updated
Jun 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0116038164 VA Primary

Addresses

Primary practice location

2323 Memorial Ave Ste 10
Lynchburg, VA 24501-2652

Mailing address

2323 Memorial Ave Ste 10
Lynchburg, VA 24501-2652
Phone (434) 200-5200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20231110001573 VA Order and Referring Only - Family PracticePractitioner - Family Practice 9830546910

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1427742378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 MEMORIAL AVE STE 10",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245012652",
            "telephone_number": "434-200-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 MEMORIAL AVE STE 10",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245012652",
            "telephone_number": "434-200-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUEDESS",
        "first_name": "HUMAIRA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-05",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0116038164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynchburg, VA

Sources for this page

Verify at the official NPI Registry.