Individual provider Active NPI

Abdul Haleem Qureshi, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Carlsbad, NM
National Provider Identifier
1487801825
Registry record updated Nov 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
MD2010-0015 Issued in NM
Practice address
2410 W. Pierce St.
Pecos Valley of NM, LLC Dba Surgery Group of Carlsbad
Carlsbad, NM 88220
Phone
(575) 885-0766
Fax
(575) 887-3791
NPI assigned
Aug 27, 2008
Last updated
Nov 5, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X MD2010-0015 NM Primary

Addresses

Primary practice location

2410 W. Pierce St.
Pecos Valley of NM, LLC Dba Surgery Group of Carlsbad
Carlsbad, NM 88220

Mailing address

2324 W. Pierce St.
Pecos Valley of NM, LLC
Carlsbad, NM 88220
Phone (575) 628-5051

Other identifiers 1

IdentifierTypeStateIssuer
23978368MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20100517000114 NM Practitioner - General Surgery 1052476496 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pecos Valley of New Mexico LLCGroup PAC ID 2466359781, 33 clinicians

Practice addresses (Care Compare)

2410 W Pierce St
Carlsbad, NM 88220-3512
Phone (575) 885-0766

2420 W Pierce St
Carlsbad, NM 88220-3518

2428 W Pierce St
Carlsbad, NM 88220-3512
Phone (575) 887-0272

2430 W Pierce St
Carlsbad, NM 88220-3553
Phone (575) 885-0995

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy40
Hernia repair - groin (open)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux38
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD2010-0015NMMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pecos Valley of New Mexico, LLC CurrentSince Mar 15, 2010 Accepting new patients
Pecos Valley of New Mexico, LLC CurrentSince Mar 15, 2010 Accepting new patients

Locations

2410 W Pierce St
Carlsbad, NM 88220
Phone (505) 885-0766

2420 W Pierce St
Ste 200
Carlsbad, NM 88220
Phone (505) 885-0600

Interoperability endpoints

  • Direct secure messaging: abdul.qureshi.1@1739.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1219795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352073600000",
    "number": "1487801825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2324 W. PIERCE ST.",
            "address_2": "PECOS VALLEY OF NM, LLC",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "88220",
            "telephone_number": "575-628-5051",
            "fax_number": "575-628-0493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 W. PIERCE ST.",
            "address_2": "PECOS VALLEY OF NM, LLC DBA SURGERY GROUP OF CARLSBAD",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "88220",
            "telephone_number": "575-885-0766",
            "fax_number": "575-887-3791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QURESHI",
        "first_name": "ABDUL",
        "middle_name": "HALEEM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-27",
        "last_updated": "2012-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NM",
            "license": "MD2010-0015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "23978368",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, NM

Sources for this page

Verify at the official NPI Registry.