Active NPI
Syeda F Quadri
- Infectious Disease Physician
- Munster, IN
National Provider Identifier
1578839627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 02005167A
- Practice address
- 761 45TH Ave
103
Munster, IN 46321-2899 - Phone
- (219) 922-3002
- NPI assigned
- Mar 22, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 02005167A | IN | |
| Infectious Disease Physician | 207RI0200X | 02005167A | IN | Primary |
Addresses
Primary practice location
761 45TH Ave
103
Munster, IN 46321-2899
Mailing address
PO Box 781076
Detroit, MI 48278-1076
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, MT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access Telecare, PLLC | Internal Medicine | Current | Accepting new patients |
| Infectious Diseases Associates, P.C. | Infectious Disease | Current | Accepting new patients |
Locations
800 Biesterfield Rd
Ste 4011
Elk Grove Vlg, IL 60007
Phone (847) 981-3694
1717 Main St
Ste 5850
Dallas, TX 75201
Phone (469) 694-5512
Interoperability endpoints
- squadri904216@ahs.direct-ci.com
Organizations & group practices 3
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.
-
- Infectious Disease Physician
- Elk Grove Village, IL
- NPI 1790774016
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1505952000000",
"number": "1578839627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 781076",
"city": "DETROIT",
"state": "MI",
"postal_code": "482781076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "761 45TH AVE",
"address_2": "103",
"city": "MUNSTER",
"state": "IN",
"postal_code": "463212899",
"telephone_number": "219-922-3002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUADRI",
"first_name": "SYEDA",
"middle_name": "F",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-22",
"last_updated": "2017-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "02005167A",
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "IN",
"license": "02005167A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Munster, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2017; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.