Active NPI
Sophia Tariq Qureshi, MD
- Family Medicine Physician
- Waterloo, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- R-11427
- Practice address
- NE Ia Medical Education Foundation
2055 Kimball Ave. Ste. 101
Waterloo, IA 50702 - Phone
- (319) 272-2112
- Fax
- (319) 272-2107
- NPI assigned
- Apr 15, 2019
- Last updated
- Apr 15, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | R-11427 | IA | Primary |
Addresses
Primary practice location
NE Ia Medical Education Foundation
2055 Kimball Ave. Ste. 101
Waterloo, IA 50702
Mailing address
NE Ia Medical Education Foundation
2055 Kimball Ave. Ste. 101
Waterloo, IA 50702
Phone (319) 272-2112
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3701 Lafayette Rd
Evansdale, IA 50707-1129
Phone (319) 274-7060
4480 Utica Ridge Rd
Bettendorf, IA 52722-1644
4480 Utica Ridge Rd
Suite 160
Bettendorf, IA 52722-1637
Phone (563) 742-5950
5100 Prairie Pkwy
Cedar Falls, IA 50613-8155
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Luke's Methodist Hospital | Current | Accepting new patients | |
| Iowa Physicians Clinic Medical Foundation | Family Medicine | Current | Accepting new patients |
| Covenant Medical Center Inc | Family Medicine | Current | Accepting new patients |
| Covenant Medical Center, Inc. | Current | Accepting new patients | |
| Floyd County Memorial Hospital Commission | Family Medicine | Past | Accepting new patients |
Locations
4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950
4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150
226 Bluebell Rd
Cedar Falls, IA 50613
Phone (319) 575-5800
2055 Kimball Ave
Ste 101
Waterloo, IA 50702
Phone (319) 272-2112
3421 W 9th St
Waterloo, IA 50702
Phone (319) 272-7050
Interoperability endpoints
- squreshi680408@direct.unitypoint.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba UnityPoint Clinic
- General Practice Physician
- West Des Moines, IA
- NPI 1366425274
Family Medicine
-
dba MercyOne Medical Group Northeast Iowa
- Family Medicine Physician
- Waterloo, IA
- NPI 1548288160
-
dba MercyOne Evansdale home medical equipment
- Customized Equipment (DME)
- Evansdale, IA
- NPI 1851141980
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
-
- Critical Access Hospital
- Charles City, IA
- NPI 1265402390
Family Medicine
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Allen Hospital
- General Acute Care Hospital
- Waterloo, IA
- NPI 1336231091
-
- Community Based Hospice Care Agency
- Waterloo, IA
- NPI 1730304619
-
dba The Suites at Western Home Communities
- Skilled Nursing Facility
- Cedar Falls, IA
- NPI 1669971487
Nursing home
-
- Home Health Agency
- Waterloo, IA
- NPI 1154623460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555286400000",
"number": "1619530763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "NE IA MEDICAL EDUCATION FOUNDATION",
"address_2": "2055 KIMBALL AVE. STE. 101",
"city": "WATERLOO",
"state": "IA",
"postal_code": "50702",
"telephone_number": "319-272-2112",
"fax_number": "319-272-2107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "NE IA MEDICAL EDUCATION FOUNDATION",
"address_2": "2055 KIMBALL AVE. STE. 101",
"city": "WATERLOO",
"state": "IA",
"postal_code": "50702",
"telephone_number": "319-272-2112",
"fax_number": "319-272-2107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QURESHI",
"first_name": "SOPHIA",
"middle_name": "TARIQ",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-15",
"last_updated": "2019-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IA",
"license": "R-11427",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waterloo, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.