Active NPI
Mahreen R. Qureshi
- Family Nurse Practitioner
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP028533
- Practice address
- 1412 Fairmount Ave
Philadelphia, PA 19130-2908 - Phone
- (215) 684-5344
- NPI assigned
- Oct 4, 2010
- Reactivated
- Mar 29, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | SP028533 | PA | Primary |
Addresses
Primary practice location
1412 Fairmount Ave
Philadelphia, PA 19130-2908
Mailing address
1300 Fayette St Apt 102
Conshohocken, PA 19428-1347
Phone (610) 304-2662
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1412 22 Fairmount Ave
Philadelphia, PA 19130-2908
Phone (215) 235-9600
400 W Allegheny Ave
BLDG 3
Philadelphia, PA 19133-3614
400 W Allegheny Ave BLDG
3 Maria de Los Santos Express Care
Philadelphia, PA 19133-3614
Phone (215) 546-7501
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP028533 | PA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Delaware Valley Community Health, Inc. | Current | Accepting new patients | |
| Delaware Valley Community Health, Inc. | Current | Accepting new patients | |
| Delaware Valley Community Health, Inc. | Past | Accepting new patients | |
| Delaware Valley Community Health, Inc. | Past | Accepting new patients | |
| Delaware Valley Community Health, Inc. | Past | Accepting new patients | |
| Delaware Valley Community Health, Inc. | Past | Accepting new patients | |
| Delaware Valley Community Health, Inc. | Past | Accepting new patients | |
| Delaware Valley Community Health, Inc. | Past | Accepting new patients | |
| Delaware Valley Community Health, Inc. | Past | Accepting new patients | |
| Delaware Valley Community Health, Inc. | Past | Accepting new patients |
Locations
1401 DeKalb St
Norristown, PA 19401
Phone (610) 275-9400
5901 Market St
Philadelphia, PA 19139
Phone (215) 222-2466
1412 Fairmount Ave
Philadelphia, PA 19130
Phone (215) 235-9600
400 W Allegheny Ave
Bldg 3
Philadelphia, PA 19133
Phone (215) 546-7501
1412 Fairmount Ave
#22
Philadelphia, PA 19130
401 W Allegheny Ave
Philadelphia, PA 19133
Phone (215) 291-2500
800 Chester Pike
Sharon Hill, PA 19079
Phone (610) 534-3636
Interoperability endpoints
- mahreen.qureshi.p1@direct.dvch.nextgenshare.com
Organizations & group practices 13
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.
-
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1386864502
-
- Internal Medicine Physician
- Kennett Square, PA
- NPI 1467471615
-
- Geriatric Medicine (Internal Medicine) Physician
- Baltimore, MD
- NPI 1366289423
PA
-
- Geriatric Medicine (Internal Medicine) Physician
- Gardendale, AL
- NPI 1881109452
PA
-
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1235956921
-
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1114940582
-
- Federally Qualified Health Center (FQHC)
- Norristown, PA
- NPI 1174545115
-
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1285699686
-
- Federally Qualified Health Center (FQHC)
- Sharon Hill, PA
- NPI 1295279644
-
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1326711722
-
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1538619333
-
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1689873911
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712016000000",
"number": "1508175969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 FAYETTE ST APT 102",
"city": "CONSHOHOCKEN",
"state": "PA",
"postal_code": "194281347",
"telephone_number": "610-304-2662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1412 FAIRMOUNT AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191302908",
"telephone_number": "215-684-5344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QURESHI",
"first_name": "MAHREEN",
"middle_name": "R.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-04",
"last_updated": "2024-04-02",
"certification_date": "2024-04-02",
"deactivation_date": "2023-11-08",
"reactivation_date": "2024-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP028533",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; 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.