Active NPI
Sana Hussain Qureshi, D.O.
- Endocrinology, Diabetes & Metabolism Physician
- Fort Wayne, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 02006854A
- Practice address
- 11141 Parkview Plaza Dr Ste 310
Fort Wayne, IN 46845-1714 - Phone
- (260) 266-8840
- Fax
- (260) 266-8849
- NPI assigned
- Mar 13, 2012
- Last updated
- Apr 20, 2023
- 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 |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 036144710 | IL | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 02006854A | IN | Primary |
Addresses
Primary practice location
11141 Parkview Plaza Dr Ste 310
Fort Wayne, IN 46845-1714
Mailing address
11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701
Other names 1
- Sana Hussain
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | squreshi505423@Direct.Parkviewexchange.com | ||
| FHIR URL | https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/ | ||
| FHIR URL | https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Endocrinology
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
11141 Parkview Plaza Dr
Suite 200
Fort Wayne, IN 46845-1714
Phone (260) 425-6030
512 N Professional Way
Kendallville, IN 46755-2927
Phone (260) 347-8556
Hospital & facility affiliations
- Parkview Regional Medical Center
- Adams Memorial Hospital
- Parkview Huntington Hospital
- Parkview Wabash Hospital, Inc
- Parkview Dekalb Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.53 of 100
- Quality
- 70
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.11
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036144710 | IL | MD | Endocrinology, Diabetes & Metabolism Physician |
| 02006854A | IN | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverside Health System | Current | Accepting new patients | |
| Riverside Health System | Current | Accepting new patients | |
| Parkview Health System Inc | Current | Accepting new patients | |
| Parkview Health System, Inc. | Endocrinology, Diabetes & Metabolism | Current | Accepting new patients |
| Gibson Community Hospital Association | Past | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
100 Fitness Dr
Bourbonnais, IL 60914
Phone (815) 936-6515
300 Riverside Dr
Ste 2100
Bourbonnais, IL 60914
Phone (815) 928-9666
105 S First St
Wilmington, IL 60481
Phone (815) 476-5210
11109 Parkview Plaza Dr
#117
Fort Wayne, IN 46845
Phone (260) 266-6012
512 Professional Way
Kendallville, IN 46755
Phone (260) 347-8556
Interoperability endpoints
- squreshi505423@direct.parkviewexchange.com
Organizations & group practices 6
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 Parkview Physicians Group
- Family Medicine Physician
- Fort Wayne, IN
- NPI 1932130952
-
- General Practice Physician
- Kankakee, IL
- NPI 1417061193
-
dba Parkview Physicians Group
- Internal Medicine Physician
- Fort Wayne, IN
- NPI 1952411233
Endocrinology, Diabetes & Metabolism
-
dba Gibson Area Hospital and Health Services
- Critical Access Hospital
- Gibson City, IL
- NPI 1114935681
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Decatur, IN
- NPI 1689696148
-
dba Parkview Dekalb Hospital
- General Acute Care Hospital
- Auburn, IN
- NPI 1902897937
-
dba Parkview Huntington Hospital
- General Acute Care Hospital
- Huntington, IN
- NPI 1003821729
-
dba Parkview Regional Medical Center
- General Acute Care Hospital
- Fort Wayne, IN
- NPI 1366407603
-
dba Parkview Wabash Hospital
- Critical Access Hospital
- Wabash, IN
- NPI 1245259878
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681948800000",
"number": "1639444375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11109 PARKVIEW PLAZA DR # 117",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468451701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11141 PARKVIEW PLAZA DR STE 310",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468451714",
"telephone_number": "260-266-8840",
"fax_number": "260-266-8849"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QURESHI",
"first_name": "SANA",
"middle_name": "HUSSAIN",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-13",
"last_updated": "2023-04-20",
"certification_date": "2023-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "IL",
"license": "036144710",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "IN",
"license": "02006854A",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "squreshi505423@Direct.Parkviewexchange.com",
"affiliation": "N",
"address_1": "11141 Parkview Plaza Dr Ste 310",
"city": "Fort Wayne",
"state": "IN",
"country_code": "US",
"postal_code": "468451714",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "11141 Parkview Plaza Dr Ste 310",
"city": "Fort Wayne",
"state": "IN",
"country_code": "US",
"postal_code": "468451714",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/",
"affiliation": "N",
"address_1": "11141 Parkview Plaza Dr Ste 310",
"city": "Fort Wayne",
"state": "IN",
"country_code": "US",
"postal_code": "468451714",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "SANA",
"last_name": "HUSSAIN",
"credential": "D.O.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2023; 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.