Individual provider Active NPI

Syeda F Quadri

  • Infectious Disease Physician
  • Munster, IN
National Provider Identifier
1578839627
Registry record updated Sep 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
02005167A Issued in IN
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

Updated by the provider on Sep 21, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, MT2 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
I20200212000785 IL Practitioner - Internal MedicinePractitioner - Infectious Disease 2163795154 Reassigns benefits to 3 organizations
I20250414003259 MT Practitioner - Infectious Disease 2163795154 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Access Telecare, PLLC Internal Medicine CurrentSince Oct 12, 2021 Accepting new patients
Infectious Diseases Associates, P.C. Infectious Disease CurrentSince Feb 1, 2020 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.