Active NPI
Maryam Qureshi, M.D.
- Family Medicine Physician
- Forsyth, IL
National Provider Identifier
1639381817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 125-051850
- Practice address
- 241 W Weaver Rd
Suite 145D
Forsyth, IL 62535-9762 - Phone
- (217) 876-5250
- Fax
- (217) 876-5255
- NPI assigned
- May 3, 2007
- 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 | 125-051850 | IL | Primary |
Addresses
Primary practice location
241 W Weaver Rd
Suite 145D
Forsyth, IL 62535-9762
Mailing address
2300 N Edward St
Gsbll
Decatur, IL 62526-4163
Phone (217) 876-2857
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- 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, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
241 W Weaver Rd
Suite 145D
Forsyth, IL 62535-9768
Phone (217) 876-5250
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 73.88 of 100
- Quality
- 63.91
- Improvement activities
- 40
- Cost
- 77.03
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125-051850 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Springfield Clinic LLP | Current | Accepting new patients | |
| Memorial Health Partners | Family Medicine | Current | Accepting new patients |
| Decatur Memorial Hospital | Family Medicine | Current | Accepting new patients |
| Decatur Memorial Hospital | Current | Accepting new patients | |
| Gibson Community Hospital Association | Past | Accepting new patients |
Locations
2300 N Edward St
Decatur, IL 62526
Phone (217) 876-3000
241 W Weaver Rd
Ste 145D
Forsyth, IL 62535
Phone (217) 876-5200
241 W Weaver Rd
Ste 145B
Forsyth, IL 62535
Phone (217) 876-5220
Interoperability endpoints
- maryamqureshi@memorial.allscriptsdirect.net
- maryamqureshi@sfc.allscriptsdirect.net
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 and National Provider Directory roles.
-
dba Professional Fees
- Multi-Specialty Clinic/Center
- Decatur, IL
- NPI 1477276301
-
- Family Medicine Physician
- Springfield, IL
- NPI 1376034744
-
- Multi-Specialty Clinic/Center
- Springfield, IL
- NPI 1215974415
-
dba Gibson Area Hospital and Health Services
- Critical Access Hospital
- Gibson City, IL
- NPI 1114935681
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Decatur, IL
- NPI 1548357973
-
dba Enhabit Home Health
- Home Health Agency
- Springfield, IL
- NPI 1477006161
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410220800000",
"number": "1639381817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 N EDWARD ST",
"address_2": "GSBLL",
"city": "DECATUR",
"state": "IL",
"postal_code": "625264163",
"telephone_number": "217-876-2857",
"fax_number": "217-876-2874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "241 W WEAVER RD",
"address_2": "SUITE 145D",
"city": "FORSYTH",
"state": "IL",
"postal_code": "625359762",
"telephone_number": "217-876-5250",
"fax_number": "217-876-5255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QURESHI",
"first_name": "MARYAM",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-03",
"last_updated": "2014-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "125-051850",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Forsyth, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2014; 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.