Active NPI
Asima Jabeen Qureshi, M.D.
- Family Medicine Physician
- Sykesville, MD
National Provider Identifier
1710907324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- D0060208
- Practice address
- 6655 Sykesville Rd
Sykesville, MD 21784 - Phone
- (410) 970-7000
- NPI assigned
- Jul 20, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | D0060208 | MD | Primary |
| Family Medicine Physician | 207Q00000X | 0101241061 | VA |
Addresses
Primary practice location
6655 Sykesville Rd
Sykesville, MD 21784
Mailing address
6655 Sykesville Rd
Sykesville, MD 21784-7966
Phone (410) 970-7000
Other practice location 1
8694 Centreville Rd
Manassas, VA 20110-5266
Phone (703) 869-0222
Other practice location 2
6655 Sykesville Rd
Sykesville, MD 21784
Phone (410) 970-7000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710907324 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0060208 | MD | MD | Family Medicine Physician |
| 0101241061 | VA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fair Oaks Hospitalist Physicians, PLLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Hospitalist Physician
- Fairfax, VA
- NPI 1275601205
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719446400000",
"number": "1710907324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6655 SYKESVILLE RD",
"city": "SYKESVILLE",
"state": "MD",
"postal_code": "217847966",
"telephone_number": "410-970-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6655 SYKESVILLE RD",
"city": "SYKESVILLE",
"state": "MD",
"postal_code": "21784",
"telephone_number": "410-970-7000"
}
],
"practiceLocations": [
{
"address_1": "8694 Centreville Rd",
"address_purpose": "LOCATION",
"city": "Manassas",
"state": "VA",
"postal_code": "201105266",
"country_code": "US",
"telephone_number": "703-869-0222",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6655 Sykesville Rd",
"address_purpose": "LOCATION",
"city": "Sykesville",
"state": "MD",
"postal_code": "21784",
"country_code": "US",
"telephone_number": "410-970-7000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "QURESHI",
"first_name": "ASIMA",
"middle_name": "JABEEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-20",
"last_updated": "2024-06-27",
"certification_date": "2024-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MD",
"license": "D0060208",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101241061",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1710907324",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sykesville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.