Individual provider Active NPI

Quanle Qi, M.D.

  • Nephrology Physician
  • New Port Richey, FL
National Provider Identifier
1477523108
Registry record updated Dec 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
ME0090363 Issued in FL
Practice address
4738 Grand Blvd
Suite D
New Port Richey, FL 34652-5170
Phone
(727) 848-1274
Fax
(727) 849-6409
NPI assigned
Jan 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2011

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 ME0090363 FL Primary

Addresses

Primary practice location

4738 Grand Blvd
Suite D
New Port Richey, FL 34652-5170

Mailing address

4738 Grand Blvd
Suite D
New Port Richey, FL 34652-5170
Phone (727) 848-1274

Other identifiers 1

IdentifierTypeStateIssuer
271935500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20150311001489 FL Practitioner - Nephrology 6305812751 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gulf Coast Nephrology AssociatesGroup PAC ID 6002882453, 3 clinicians

Practice addresses (Care Compare)

4738 Grand Blvd D
New Port Richey, FL 34652-5170
Phone (727) 848-1274

4738 Grand Blvd DD
New Port Richey, FL 34652-5170

Hospital & facility affiliations

  • Fresenius Kidney Care Seven Springs Dialysis facility, Trinity, FL, CCN 102529
  • HCA Florida Bayonet Point Hospital Hospital, Hudson, FL, CCN 100256
  • HCA Florida Trinity Hospital Hospital, Trinity, FL, CCN 100191
  • Morton Plant North Bay Hospital Hospital, New Port Richey, FL, CCN 100063
  • Morton Plant Hospital Hospital, Clearwater, FL, CCN 100127

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0090363FLMDNephrology Physician

Practice roles (2 of 3)

OrganizationSpecialtyStatusNew patients
Gulf Coast Nephrology Associates Nephrology CurrentSince Jul 1, 2004 Accepting new patients
Rakesh P Shah MD PA Past Accepting new patients

Locations

14153 Yosemite Dr
Ste 102
Hudson, FL 34667
Phone (727) 862-0603

4738 Grand Blvd
New Port Richey, FL 34652
Phone (727) 848-0800

4738 Grand Blvd
Ste D
New Prt Rchy, FL 34652
Phone (727) 848-1274

Networks

  • Freedom Health HMO Network

Organizations & group practices 2

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 5

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": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324252800000",
    "number": "1477523108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4738 GRAND BLVD",
            "address_2": "SUITE D",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346525170",
            "telephone_number": "727-848-1274",
            "fax_number": "727-849-6409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4738 GRAND BLVD",
            "address_2": "SUITE D",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346525170",
            "telephone_number": "727-848-1274",
            "fax_number": "727-849-6409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QI",
        "first_name": "QUANLE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2011-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME0090363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "271935500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

Verify at the official NPI Registry.