Individual provider Active NPI

Mustafa Quadri, M.D.

  • Pulmonary Disease Physician
  • Dayton, OH
National Provider Identifier
1619989258
Registry record updated Apr 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
35.057558 Issued in OH
Practice address
8881 N Main St
Dayton, OH 45415-1333
Phone
(937) 832-5292
Fax
(937) 832-7505
NPI assigned
Aug 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 35.057558 OH Primary

Addresses

Primary practice location

8881 N Main St
Dayton, OH 45415-1333

Mailing address

PO Box 634857
Cincinnati, OH 45263-4857
Phone (937) 832-5292

Other practice location 1

3095 Dayton Xenia Rd Ste 900
Beavercreek, OH 45434-4305
Phone (937) 458-4010

Other identifiers 1

IdentifierTypeStateIssuer
0760743MedicaidOH

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mquadri191898@direct.ketteringhealth.org
FHIR URL https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040320000460 OH Practitioner - Pulmonary Disease 9638069719 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dayton Lung and Sleep Medicine IncGroup PAC ID 7113817297, 4 clinicians
Kettering Independent Medical Group IncGroup PAC ID 3173710936, 699 clinicians

Practice addresses (Care Compare)

120 W Wenger Rd
Suite 1
Englewood, OH 45322-2763
Phone (937) 832-5292

4403 Far Hills Ave
Kettering, OH 45429-2405
Phone (937) 433-5309

4441 Far Hills Ave
Kettering, OH 45429-2405
Phone (937) 298-7751

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.34 of 100Reported as group
Quality
63.67
Promoting interoperability
100
Improvement activities
40
Cost
74.14

Merit-based Incentive Payment System (MIPS)

Final score
85.56 of 100Reported as group
Quality
79.94
Promoting interoperability
86
Improvement activities
40
Cost
76.76

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.057558OHMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kettering Independent Medical Group Inc CurrentSince Dec 29, 2022 Accepting new patients
Dayton Lung and Sleep Medicine Inc Pulmonary Disease CurrentSince Jan 15, 2003 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

1244 Meadow Bridge Dr
Beavercreek, OH 45434
Phone (937) 222-3118

3095 Dayton Xenia Rd
Ste 900
Dayton, OH 45434
Phone (937) 458-4010

120 W Wenger Rd
Ste 1
Englewood, OH 45322
Phone (937) 832-5292

3535 Southern Blvd
Kettering, OH 45429
Phone (937) 298-1221

4403 Far Hills Ave
Kettering, OH 45429
Phone (937) 395-3910

761 S Nelson Ave
Wilmington, OH 45177
Phone (937) 382-1008

Interoperability endpoints

  • Direct secure messaging: ovy5630@yourcarecommunity.org

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.

Hospital & facility affiliations 5

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": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649721600000",
    "number": "1619989258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 634857",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452634857",
            "telephone_number": "937-832-5292",
            "fax_number": "937-832-7505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8881 N MAIN ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454151333",
            "telephone_number": "937-832-5292",
            "fax_number": "937-832-7505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3095 Dayton Xenia Rd Ste 900",
            "address_purpose": "LOCATION",
            "city": "Beavercreek",
            "state": "OH",
            "postal_code": "454344305",
            "country_code": "US",
            "telephone_number": "937-458-4010",
            "fax_number": "937-458-4019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUADRI",
        "first_name": "MUSTAFA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "OH",
            "license": "35.057558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0760743",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mquadri191898@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "3095 Dayton Xenia Rd Ste 900",
            "city": "Beavercreek",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454344305",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "3095 Dayton Xenia Rd Ste 900",
            "city": "Beavercreek",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454344305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.