NPIMap

Individual provider Active NPI

Kashif Ahmed Zuberi, MBBCH FACS MRCSI

  • Surgery Physician
  • Bemidji, MN
National Provider Identifier
1508919572
Registry record updated Apr 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
TP 106852 Issued in MN
Practice address
1233 34TH St NW
Bemidji, MN 56601
Phone
(218) 333-5283
NPI assigned
Jan 20, 2007
Last updated
Apr 4, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X T1619 MD
Surgery Physician 208600000X TP 106852 MN Primary

Addresses

Primary practice location

1233 34TH St NW
Bemidji, MN 56601

Mailing address

1233 34TH St NW
Bemidji, MN 56601-5112
Phone (218) 333-5283

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions
Direct Messaging Address kzuberi3973928@direct.sanfordhealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, CA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130815000741 MN Practitioner - General Surgery 9739339466 Reassigns benefits to 2 organizations
I20210810002939 CA Practitioner - General Surgery 9739339466 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advance Surgeons Medical Group IncGroup PAC ID 6608779160, 9 clinicians

Practice addresses (Care Compare)

18575 Gale Ave
City of Industry, CA 91748-1383
Phone (626) 457-6333

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy18
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux25

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T1619MDMDSurgery Physician
TP 106852MNMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michael F Sedrak MD a Medical Corporation Surgery CurrentSince Jun 7, 2024 Accepting new patients
Marshall Medical Center CurrentSince Jul 1, 2022 Accepting new patients
Confermed of California PC CurrentSince Nov 13, 2024 Accepting new patients
Bhatti Gastroenterology Consultants, P.a. CurrentSince Jul 15, 2018 Accepting new patients
Marshall Medical Center Surgery CurrentSince Jul 1, 2022 Accepting new patients
Kashif Ahmed Zuberi, MD, a Professional Corporation Surgery Current Accepting new patients
Sanford Health of Northern Minnesota Current Accepting new patients
Sanford Health of Northern Minnesota Surgery CurrentSince Mar 1, 2020 Accepting new patients
Advance Surgeons Medical Group Inc Surgery CurrentSince Apr 26, 2023 Accepting new patients
Center for Advanced Laparoscopic Surgery Inc Surgery Past Accepting new patients
David C P Chen, M.D., Inc Past Accepting new patients
Confermed PC Past Accepting new patients
Sanford Medical Center Fargo Past Accepting new patients
California Dermatology Physicians PastSince Jun 1, 2018 Accepting new patients
S&S Medical Group PastSince Aug 21, 2024 Accepting new patients

Locations

101 Wheeler Ave
Ste C
Arcadia, CA 91006
Phone (626) 457-1933

18575 Gale Ave
Ste 295
City of Industry, CA 91748
Phone (626) 369-9663

1902 Fullerton Ave
Ste 101
Corona, CA 92881
Phone (310) 728-0494

101 Academy
Ste 100
Irvine, CA 92617
Phone (860) 323-0172

3510 South St
Lakewood, CA 90712
Phone (562) 413-2007

120 W Hellman Ave
Ste 203
Monterey Park, CA 91754
Phone (626) 457-6333

1095 Marshall Way
Ste 201
Placerville, CA 95667
Phone (530) 344-5470

11 Silver St
Unit 856
Middletown, CT 06457

2720 Dundee Rd
Northbrook, IL 60062
Phone (224) 226-5222

1611 Anne St NW
Bemidji, MN 56601
Phone (218) 333-2020

1457 White Oak Dr
Chaska, MN 55318
Phone (800) 433-1439

1400 Highway 71
Intl Falls, MN 56649
Phone (218) 283-4481

4000 28th Ave S
Moorhead, MN 56560
Phone (701) 234-3200

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: kashifzuberi@bgic.allscriptsdirect.net
  • Direct secure messaging: kzuberi3973928@direct.sanfordhealth.org
  • Direct secure messaging: kzuberi693880@direct.memorialcare.org

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 4

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": "1169251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649030400000",
    "number": "1508919572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1233 34TH ST NW",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566015112",
            "telephone_number": "218-333-5283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 34TH ST NW",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "56601",
            "telephone_number": "218-333-5283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUBERI",
        "first_name": "KASHIF",
        "middle_name": "AHMED",
        "name_prefix": "Dr.",
        "credential": "MBBCH FACS MRCSI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-20",
        "last_updated": "2022-04-04",
        "certification_date": "2022-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MD",
            "license": "T1619",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MN",
            "license": "TP 106852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kzuberi3973928@direct.sanfordhealth.org",
            "affiliation": "N",
            "address_1": "1233 34th St NW",
            "city": "Bemidji",
            "state": "MN",
            "country_code": "US",
            "postal_code": "56601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bemidji, MN

Sources for this page

Verify at the official NPI Registry.