NPIMap

Individual provider Active NPI

Muhammad Siddique Tariq Qureshi, M.D.

  • Obstetrics & Gynecology Physician
  • Penfield, NY
National Provider Identifier
1538231493
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
204780 Issued in NY
Practice address
43 Willow Pond Way
Suite 200
Penfield, NY 14526-2638
Phone
(585) 337-5420
Fax
(585) 377-3690
NPI assigned
Nov 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 204780 NY Primary

Addresses

Primary practice location

43 Willow Pond Way
Suite 200
Penfield, NY 14526-2638

Mailing address

43 Willow Pond Way
Suite 200
Penfield, NY 14526-2638
Phone (585) 337-5420

Other practice location 1

229 Parrish St Ste 200
Canandaigua, NY 14424-1791
Phone (585) 377-5420

Other identifiers 1

IdentifierTypeStateIssuer
01890624MedicaidNY

Other names 1

  • Dr. M.S. Tariq Quershi Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20040719001585 NY Practitioner - Obstetrics/GynecologyPractitioner - Gynecological Oncology 8426037714 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1982
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

43 Willow Pond Way
Suite 200
Penfield, NY 14526-2638

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
204780NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester General Hospital CurrentSince Nov 25, 2022 Accepting new patients
Rochester General Hospital Obstetrics & Gynecology Current Accepting new patients
Rochester General Hospital CurrentSince Nov 25, 2022 Accepting new patients
Western New York Medical Practice P.C. CurrentSince Nov 25, 2022 Accepting new patients
Penfield Obstetrics and Gynecology LLP Obstetrics & Gynecology CurrentSince Sep 1, 2013 Accepting new patients

Locations

127 North St
Batavia, NY 14020
Phone (585) 267-7510

229 Parrish St
Ste 200
Canandaigua, NY 14424
Phone (585) 377-5420

1520 State Route 332
Farmington, NY 14425
Phone (585) 225-6680

43 Willow Pond Way
Ste 200
Penfield, NY 14526
Phone (585) 377-5420

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

Interoperability endpoints

  • Direct secure messaging: drtariqqureshi@penfieldobgyn.medentdirect.com

Organizations & group practices 5

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 7

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": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1538231493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 WILLOW POND WAY",
            "address_2": "SUITE 200",
            "city": "PENFIELD",
            "state": "NY",
            "postal_code": "145262638",
            "telephone_number": "585-337-5420",
            "fax_number": "585-377-3690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 WILLOW POND WAY",
            "address_2": "SUITE 200",
            "city": "PENFIELD",
            "state": "NY",
            "postal_code": "145262638",
            "telephone_number": "585-337-5420",
            "fax_number": "585-377-3690"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "229 Parrish St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Canandaigua",
            "state": "NY",
            "postal_code": "144241791",
            "country_code": "US",
            "telephone_number": "585-377-5420",
            "fax_number": "585-377-3690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QURESHI",
        "first_name": "MUHAMMAD",
        "middle_name": "SIDDIQUE TARIQ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "204780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01890624",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "M.S. TARIQ",
            "last_name": "QUERSHI",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Penfield, NY

Sources for this page

Verify at the official NPI Registry.