NPIMap

Individual provider Active NPI

Tanvir I Qureshi, MD PC

  • Specialist
  • Monroe, MI
National Provider Identifier
1447253760
Registry record updated Jan 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
042971 Issued in MI
Practice address
5290 W. Brookshire Court
Monroe, MI 48161-3798
Phone
(734) 242-5544
Fax
(734) 457-6610
NPI assigned
May 31, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 042971 MI Primary

Addresses

Primary practice location

5290 W. Brookshire Court
Monroe, MI 48161-3798

Mailing address

5290 W. Brookshire Court
Monroe, MI 48161-3798
Phone (734) 242-5544

Other identifiers 5

IdentifierTypeStateIssuer
110184781OtherMIRR MEDICARE PROVIDER #
P40521OtherMIBCN
02894OtherMIPARAMOUNT PROVIDER #
1884958MedicaidMI
1105800181OtherMIBCBS PROVIDER#

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20120113000751 MI Practitioner - Internal MedicinePractitioner - Geriatric Medicine 5395912398 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Wayne State University School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5290 W Brookshire St
Monroe, MI 48161-3798
Phone (734) 242-5544

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tanvir I Qureshi MD PC CurrentSince Oct 12, 1999 Accepting new patients

Locations

5290 W Brookshire St
Monroe, MI 48161
Phone (734) 242-5544

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14777/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326326400000",
    "number": "1447253760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5290 W. BROOKSHIRE COURT",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481613798",
            "telephone_number": "734-242-5544",
            "fax_number": "734-457-6610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5290 W. BROOKSHIRE COURT",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481613798",
            "telephone_number": "734-242-5544",
            "fax_number": "734-457-6610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QURESHI",
        "first_name": "TANVIR",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "MD PC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2012-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": "042971",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE PROVIDER #",
            "identifier": "110184781",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCN",
            "identifier": "P40521",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARAMOUNT PROVIDER #",
            "identifier": "02894",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1884958",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER#",
            "identifier": "1105800181",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, MI

Sources for this page

Verify at the official NPI Registry.