Active NPI
Amna Qureshi, MD
- Hematology (Pathology) Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology (Pathology) Physician
- License
- 2018036861
- Practice address
- 1402 S Grand Blvd
Saint Louis, MO 63104 - Phone
- (516) 974-6707
- NPI assigned
- Jul 26, 2010
- Last updated
- Jun 28, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Hematology (Pathology) Physician | 207ZH0000X | 2018036861 | MO | Primary |
Addresses
Primary practice location
1402 S Grand Blvd
Saint Louis, MO 63104
Mailing address
1402 S Grand Blvd
Saint Louis, MO 63104-1004
Phone (516) 974-6707
Other practice location 1
1402 S Grand Blvd
Saint Louis, MO 63104
Phone (516) 974-6707
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11133 Dunn Rd
Saint Louis, MO 63136-6163
Phone (314) 653-5630
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SSM Cardinal Glennon Childrens Hospital | Current | Accepting new patients | |
| SSM Health Care St Louis | Current | Accepting new patients | |
| SSM Health Care St. Louis | Current | Accepting new patients | |
| Analytical Pathology Services LTD | Current | Accepting new patients |
Locations
7344 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-6189
6800 State Route 162
Maryville, IL 62062
Phone (618) 288-4095
1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000
10010 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 525-1328
11133 Dunn Rd
Saint Louis, MO 63136
Phone (314) 653-5000
1465 S Grand Blvd
Saint Louis, MO 63104
Phone (314) 268-4070
6420 Clayton Rd
Saint Louis, MO 63117
Phone (314) 768-8442
800 Ste Genevieve Dr
Ste Genevieve, MO 63670
Phone (573) 883-2571
232 S Woods Mill Rd
Town and Country, MO 63017
Phone (314) 205-6030
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anatomic Pathology & Clinical Pathology Physician
- Saint Louis, MO
- NPI 1558343673
-
dba SSM Health St Clare Fenton
- Emergency Medicine Physician
- Fenton, MO
- NPI 1275586174
-
dba SSM Health Cardinal Glennon Children's Hospital
- Pediatrics Physician
- O'Fallon, IL
- NPI 1174577670
MO
-
dba SSM Health St. Mary's Hospital Physician Billing
- Emergency Medicine Physician
- Saint Louis, MO
- NPI 1366400855
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1649299827
-
dba Mercy Hospital St Louis
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
-
dba Mercy St. Louis Transport Ambulance
- Land Ambulance
- Saint Louis, MO
- NPI 1881329902
Hospital
-
dba St. Luke's Hospital
- General Acute Care Hospital
- Chesterfield, MO
- NPI 1346251543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561680000000",
"number": "1437462918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1402 S GRAND BLVD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631041004",
"telephone_number": "516-974-6707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1402 S GRAND BLVD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "63104",
"telephone_number": "516-974-6707"
}
],
"practiceLocations": [
{
"address_1": "1402 S Grand Blvd",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "63104",
"country_code": "US",
"telephone_number": "516-974-6707",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "QURESHI",
"first_name": "AMNA",
"name_prefix": "Miss",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-26",
"last_updated": "2019-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207ZH0000X",
"taxonomy_group": "",
"desc": "Pathology, Hematology",
"state": "MO",
"license": "2018036861",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.