Individual provider Active NPI

Ahmad Qureshi, MD

  • Pulmonary Disease Physician
  • Eau Claire, WI
National Provider Identifier
1710962907
Registry record updated Jul 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
49815 Issued in WI
Practice address
1400 Bellinger St
Eau Claire, WI 54703-5222
Phone
(715) 838-5222
NPI assigned
Dec 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 44475 MN
Pulmonary Disease Physician 207RP1001X 49815 WI Primary

Addresses

Primary practice location

1400 Bellinger St
Eau Claire, WI 54703-5222

Mailing address

PO Box 1510
Eau Claire, WI 54702-1510
Phone (715) 838-5222

Other identifiers 1

IdentifierTypeStateIssuer
34689100MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20070223000377 WI Practitioner - Pulmonary Disease 7416980255 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
49815WIMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Agnesian Healthcare Inc CurrentSince Apr 24, 2024 Accepting new patients
Gundersen Lutheran Medical Center Inc CurrentSince Aug 1, 2022 Accepting new patients
Gundersen Lutheran Express Care, Inc CurrentSince Oct 28, 2022 Accepting new patients
Gundersen Clinic LTD CurrentSince Oct 28, 2022 Accepting new patients
Gundersen Lutheran Medical Center, Inc CurrentSince Aug 1, 2022 Accepting new patients
Agnesian Healthcare Inc CurrentSince Apr 24, 2024 Accepting new patients
Aspirus Wausau Hospital, Inc. CurrentSince Jan 31, 2022 Accepting new patients
Aspirus Wausau Hospital, Inc. Internal Medicine Current Accepting new patients
Ascension Medical Group-Southeast Wisconsin Inc Internal Medicine CurrentSince Jan 31, 2022 Accepting new patients
Aspirus Wausau Hospital, Inc. CurrentSince Jan 31, 2022 Accepting new patients
Agnesian Healthcare, Inc Current Accepting new patients
Gundersen Lutheran Medical Center Inc Current Accepting new patients
Mayo Clinic Health System-Northwest Wisconsin Region, Inc. Past Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

205 Parker St
Boscobel, WI 53805
Phone (608) 375-4112

13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400

420 E Division St
Fond du Lac, WI 54935
Phone (920) 923-7400

430 E Division St
Fond du Lac, WI 54935
Phone (920) 926-4200

744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025

1836 South Ave
La Crosse, WI 54601
Phone (608) 788-8102

1910 South Ave
La Crosse, WI 54601
Phone (608) 775-2287

1808 W Beltline Hwy
Madison, WI 53713
Phone (608) 250-1497

3803 Spring St
Mount Pleasant, WI 53405
Phone (262) 687-3973

610 E Taylor St
Prairie du Chien, WI 53821
Phone (608) 326-6466

407 S Main St
Viroqua, WI 54665
Phone (608) 637-3195

425 Pine Ridge Blvd
Ste 200
Wausau, WI 54401
Phone (715) 847-0075

333 Pine Ridge Blvd
Wausau, WI 54401
Phone (715) 847-2160

201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228

Interoperability endpoints

  • Direct secure messaging: ashahzadqureshi725395@direct.gundersenhealth.org
  • Direct secure messaging: aqureshi511326@direct-ehr-ssmhc.com

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247616000000",
    "number": "1710962907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1510",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547021510",
            "telephone_number": "715-838-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 BELLINGER ST",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547035222",
            "telephone_number": "715-838-5222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QURESHI",
        "first_name": "AHMAD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-09",
        "last_updated": "2009-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "44475",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "WI",
            "license": "49815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34689100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eau Claire, WI

Sources for this page

Verify at the official NPI Registry.