Individual provider Active NPI

Adnan Qadeer, MD

  • Pediatrics Physician
  • Greenville, SC
National Provider Identifier
1700999885
Registry record updated Oct 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD29420 Issued in SC
Practice address
975 W Faris Rd
Greenville, SC 29605-4241
Phone
(864) 729-8330
NPI assigned
Aug 16, 2006
Last updated
Oct 16, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
294201MedicaidSC

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140827002877 SC Practitioner - Pediatric Medicine 3779701032 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD29420SCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medicine Foundation CurrentSince Jun 10, 2025 Accepting new patients
Community Medicine Foundation CurrentSince Jun 10, 2025 Accepting new patients
Signify Health Medical Associates, PLLC General Practice CurrentSince Jun 15, 2024 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.