Individual provider Active NPI

Hina Shafique Qureshi, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Charlottesville, VA
National Provider Identifier
1568488286
Registry record updated Mar 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
46078 Issued in MN
Practice address
2030 Avon CT Ste 5
Charlottesville, VA 22902-8735
Phone
(434) 284-2809
Fax
(888) 249-0039
NPI assigned
Jul 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 101240634 VA
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 46078 MN Primary

Addresses

Primary practice location

2030 Avon CT Ste 5
Charlottesville, VA 22902-8735

Mailing address

335 Maroon Creek CT
Charlottesville, VA 22903-7957
Phone (434) 284-2809

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Charlottesville Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20101018000441 VA Practitioner - Pathology 7517150071 Reassigns benefits to 3 organizations
I20240117002359 DC Practitioner - Pathology 7517150071 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastroenterology Associates of Northern Virginia, LLCGroup PAC ID 1759371008, 98 clinicians

Practice addresses (Care Compare)

1139 E High St
Charlottesville, VA 22902-4849
Phone (434) 817-8484

24570 Gum Spring Rd
Sterling, VA 20166-2246
Phone (703) 698-8960

8709 Professional PL
Suite 279
Manassas, VA 20110-4424
Phone (703) 698-8960

Merit-based Incentive Payment System (MIPS)

Final score
80.52 of 100Reported as group
Quality
56.13
Promoting interoperability
98
Improvement activities
40
Cost
80.61

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
46078MNMDAnatomic Pathology & Clinical Pathology Physician
101240634VAMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology Associates of Northern Virginia, LLC CurrentSince Sep 1, 2022 Accepting new patients
Shenandoah Valley Gastroenterology Center, PLLC CurrentSince Aug 31, 2018 Accepting new patients
Charlottesville Gastroenterology Associates PC CurrentSince Aug 21, 2019 Accepting new patients
Laboratory Corporation of America Holdings Past Accepting new patients
Laboratory Corporation of America Holdings Past Accepting new patients
Old Dominion Anesthesia LLC Past Accepting new patients

Locations

9500 S Dadeland Blvd
Ste 200
Miami, FL 33156
Phone (786) 530-3820

1139 E High St
Ste 203
Charlottesvle, VA 22902
Phone (434) 817-8484

3022 Williams Dr
Ste 301
Fairfax, VA 22031
Phone (703) 698-1775

3320 Emmaus Rd
Rockingham, VA 22801
Phone (540) 433-2351

24570 Medical Dr
Sterling, VA 20166
Phone (571) 367-4400

Organizations & group practices 6

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614556800000",
    "number": "1568488286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 MAROON CREEK CT",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229037957",
            "telephone_number": "434-284-2809",
            "fax_number": "888-249-0039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 AVON CT STE 5",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229028735",
            "telephone_number": "434-284-2809",
            "fax_number": "888-249-0039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QURESHI",
        "first_name": "HINA",
        "middle_name": "SHAFIQUE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "VA",
            "license": "101240634",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MN",
            "license": "46078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Charlottesville",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Charlottesville",
            "address_1": "2030 Avon Ct Ste 5",
            "city": "Charlottesville",
            "state": "VA",
            "country_code": "US",
            "postal_code": "229028735",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.