Active NPI
Adnan Qadeer, MD
- Pediatrics Physician
- Greenville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD29420
- Practice address
- 975 W Faris Rd
Greenville, SC 29605-4241 - Phone
- (864) 729-8330
- NPI assigned
- Aug 16, 2006
- Last updated
- Oct 16, 2022
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD29420 | SC | Primary |
| General Practice Physician | 208D00000X | 29420 | SC |
Addresses
Primary practice location
975 W Faris Rd
Greenville, SC 29605-4241
Mailing address
205 Buxton CT
Easley, SC 29642-7009
Phone (319) 331-2155
Other practice location 1
17 Memorial Medical Dr
Greenville, SC 29605-4407
Phone (864) 283-0637
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 294201 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD29420 | SC | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Medicine Foundation | Current | Accepting new patients | |
| Community Medicine Foundation | Current | Accepting new patients | |
| Signify Health Medical Associates, PLLC | General Practice | Current | Accepting new patients |
| St Francis Physician Services Inc | Past | Accepting new patients | |
| Community Medicine Foundation | Past | Accepting new patients |
Locations
2 Office Park Ct
Ste 103
Columbia, SC 29223
Phone (505) 340-5555
1131 Saluda St
Rock Hill, SC 29730
Phone (803) 325-7744
1140 Saluda St
Rock Hill, SC 29730
Phone (803) 325-7744
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Interoperability endpoints
- adnan.qadeer.p1@direct.ncfmc.nextgenshare.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba North Central Family Medical Center
- Federally Qualified Health Center (FQHC)
- Rock Hill, SC
- NPI 1528004918
-
dba North Central Family Medicine
- Federally Qualified Health Center (FQHC)
- Chester, SC
- NPI 1548914773
-
dba North Central Family Medical Center
- Federally Qualified Health Center (FQHC)
- Chester, SC
- NPI 1356618318
-
- Family Medicine Physician
- Greenville, SC
- NPI 1295769438
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665878400000",
"number": "1700999885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 BUXTON CT",
"city": "EASLEY",
"state": "SC",
"postal_code": "296427009",
"telephone_number": "319-331-2155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "975 W FARIS RD",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296054241",
"telephone_number": "864-729-8330"
}
],
"practiceLocations": [
{
"address_1": "17 Memorial Medical Dr",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "SC",
"postal_code": "296054407",
"country_code": "US",
"telephone_number": "864-283-0637",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "QADEER",
"first_name": "ADNAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-16",
"last_updated": "2022-10-16",
"certification_date": "2022-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "SC",
"license": "MD29420",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "SC",
"license": "29420",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "294201",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.