Individual provider Active NPI

Mohammed Imran Quraishi, M.D.

  • Diagnostic Radiology Physician
  • Chattanooga, TN
National Provider Identifier
1710205398
Registry record updated Apr 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
54456 Issued in TN
Practice address
975 E 3Rd St # 376
Chattanooga, TN 37403-2147
Phone
(423) 778-7234
Fax
(423) 778-6261
NPI assigned
May 6, 2010
Last updated
Apr 25, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 54456 TN Primary

Addresses

Primary practice location

975 E 3Rd St # 376
Chattanooga, TN 37403-2147

Mailing address

975 E 3Rd St # 376
Chattanooga, TN 37403-2147
Phone (423) 778-7234

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20160817001159 TN Practitioner - Diagnostic Radiology 4587837042 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
East Tennessee State University Quillen College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1130 Middle Creek Rd
Suite 140
Sevierville, TN 37862-3053
Phone (865) 446-3120

11440 Parkside Dr
Suite 204
Knoxville, TN 37934-2661
Phone (865) 777-6700

1415 Old Weisgarber Rd
Knoxville, TN 37909-1327

1924 Alcoa Hwy
Knoxville, TN 37920-1511
Phone (865) 305-9661

1926 Alcoa Hwy
Suite 120
Knoxville, TN 37920-1558
Phone (865) 305-9728

208 Central Ave W
Jamestown, TN 38556-3557
Phone (931) 752-3222

5779 Creekwood Park Blvd
Suite 130
Lenoir City, TN 37772-1203
Phone (865) 988-6330

601 Hall of Fame Dr
Knoxville, TN 37915-3666
Phone 8655847376403

6232 W Andrew Johnson Hwy
Suite 1500
Talbott, TN 37877-8604
Phone (423) 690-3420

7326 Maynardville Pike
Suite 1100
Knoxville, TN 37938-3717
Phone (865) 251-4488

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.17 of 100Reported as group
Quality
89.39
Improvement activities
40
Cost
100

Merit-based Incentive Payment System (MIPS)

Final score
90.59 of 100Reported as group
Quality
93.8
Improvement activities
40
Cost
79.98

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Leconte Radiology PC Diagnostic Radiology CurrentSince Nov 1, 2018 Accepting new patients
Association of University Radiologists, PC Diagnostic Radiology CurrentSince Sep 1, 2018 Accepting new patients
Association of University Radiologists, PC Diagnostic Radiology CurrentSince Sep 1, 2018 Accepting new patients

Locations

266 Joule St
Alcoa, TN 37701
Phone (865) 984-3864

11440 Parkside Dr
Ste 204
Knoxville, TN 37934
Phone (865) 675-1300

851 Locust St
Rogersville, TN 37857
Phone (423) 272-2671

Organizations & group practices 3

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.

Hospital & facility affiliations 3

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": "1273104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524614400000",
    "number": "1710205398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 E 3RD ST # 376",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374032147",
            "telephone_number": "423-778-7234",
            "fax_number": "423-778-6261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 E 3RD ST # 376",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374032147",
            "telephone_number": "423-778-7234",
            "fax_number": "423-778-6261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QURAISHI",
        "first_name": "MOHAMMED",
        "middle_name": "IMRAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-06",
        "last_updated": "2018-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "54456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.