NPIMap

Individual provider Active NPI

Omer Qureishy, MBBS.MD

  • Surgery Physician
  • Marshall, MN
National Provider Identifier
1679534952
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
48196 Issued in MN
Practice address
300 Bruce Street
Marshall, MN 56258
Phone
(507) 537-9300
Fax
(507) 537-9356
NPI assigned
Mar 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 48196 MN Primary

Addresses

Primary practice location

300 Bruce Street
Marshall, MN 56258

Mailing address

14348 Flora Way
Apple Valley, MN 55124-3336
Phone (952) 953-3631

Other identifiers 2

IdentifierTypeStateIssuer
264P4QUOtherMNBLUE CROSS PROVIDER
722646200MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050914000645 MN Practitioner - Family PracticePractitioner - Emergency Medicine 0143253724 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Physicians Professional AssociationGroup PAC ID 9537072657, 273 clinicians

Practice addresses (Care Compare)

4300 Marketpointe Dr
Suite 100
Bloomington, MN 55435-5435
Phone (952) 835-9880

Hospital & facility affiliations

  • Centracare Health - Monticello Hospital, Monticello, MN, CCN 241362
  • Avera Marshall Regional Medical Ctr Hospital, Marshall, MN, CCN 241359
  • Centracare Health System - Melrose Hospital Hospital, Melrose, MN, CCN 241330

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
48196MNMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physicians Professional Association CurrentSince Jul 1, 2023 Accepting new patients
Centracare Health System-NR LLC CurrentSince Jan 30, 2019 Accepting new patients
Emergency Physicians Professional Association Current Accepting new patients
Centracare Health System-NR LLC CurrentSince Jan 30, 2019 Accepting new patients
Centracare Health System - Melrose CurrentSince Jun 1, 2018 Accepting new patients
Avera Marshall Current Accepting new patients
Avera Marshall CurrentSince Jan 1, 2014 Accepting new patients
Avera Marshall CurrentSince Jan 1, 2014 Accepting new patients
Emergency Physicians Professional Association CurrentSince Jul 1, 2023 Accepting new patients
West Central Radiological Associates, LTD Past Accepting new patients
Urgent Care Doctors Office, PA Past Accepting new patients

Locations

300 S Bruce St
Marshall, MN 56258
Phone (507) 532-9631

525 Main St W
Melrose, MN 56352
Phone (320) 256-4228

4300 Marketpointe Dr
Ste 100
Minneapolis, MN 55435
Phone (952) 767-4574

1013 Hart Blvd
Monticello, MN 55362
Phone (763) 271-2303

1013 Hart Blvd
Ste 1
Monticello, MN 55362
Phone (763) 271-2405

301 Becker Ave SW
Willmar, MN 56201
Phone (320) 231-4120

Interoperability endpoints

  • Direct secure messaging: oqureishy28810@direct.centracare.com

Organizations & group practices 11

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": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1679534952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14348 FLORA WAY",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551243336",
            "telephone_number": "952-953-3631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BRUCE STREET",
            "city": "MARSHALL",
            "state": "MN",
            "postal_code": "56258",
            "telephone_number": "507-537-9300",
            "fax_number": "507-537-9356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUREISHY",
        "first_name": "OMER",
        "name_prefix": "Dr.",
        "credential": "MBBS.MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MN",
            "license": "48196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER",
            "identifier": "264P4QU",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "722646200",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshall, MN

Sources for this page

Verify at the official NPI Registry.