Organization Active NPI

Safdar Qureshi MD PC

  • Hospitalist Physician
  • Las Vegas, NV
National Provider Identifier
1659709079
Registry record updated Jun 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
Legal business name
SAFDAR QURESHI MD PC
Practice address
7345 S Durango Dr Ste B107-379
Las Vegas, NV 89113-3653
Phone
(702) 328-6448
Fax
(702) 947-2631
NPI assigned
Oct 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2014

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

Authorized official

Name
Safdar A Qureshi, MDNPI 1407081508
Title
President
Phone
(702) 328-6448

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Hospitalist PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208M00000X Primary

Addresses

Primary practice location

7345 S Durango Dr Ste B107-379
Las Vegas, NV 89113-3653

Mailing address

7345 S Durango Dr Ste B107-379
Las Vegas, NV 89113-3653
Phone (702) 328-6448

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140428001761 NV Part B Supplier - Clinic/Group Practice 2961635974 Receives reassigned benefits from 1 practitioner
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

7345 S Durango Dr
Ste B107379
Las Vegas, NV 89113
Phone (702) 540-9428

7345 S Durango Dr
Ste B107
Las Vegas, NV 89113

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1382400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402963200000",
    "number": "1659709079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7345 S DURANGO DR STE B107-379",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891133653",
            "telephone_number": "702-328-6448",
            "fax_number": "702-947-2631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7345 S DURANGO DR STE B107-379",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891133653",
            "telephone_number": "702-328-6448",
            "fax_number": "702-947-2631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFDAR QURESHI MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-22",
        "last_updated": "2014-06-17",
        "status": "A",
        "authorized_official_last_name": "QURESHI",
        "authorized_official_first_name": "SAFDAR",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-328-6448",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.