Individual provider Active NPI

Amer G. Qazi, MD

  • Emergency Medicine Physician
  • McLean, VA
National Provider Identifier
1720050560
Registry record updated Dec 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
38054 Issued in MN
Practice address
1265 Beverly Rd
MC Lean, VA 22101-2802
Phone
(703) 917-9696
NPI assigned
Feb 6, 2006
Last updated
Dec 14, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 38054 MN Primary

Addresses

Primary practice location

1265 Beverly Rd
MC Lean, VA 22101-2802

Mailing address

1265 Beverly Rd
MC Lean, VA 22101-2802
Phone (703) 917-9696

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, IA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040210000385 MN Practitioner - Emergency MedicinePractitioner - General Practice 3375437510 Reassigns benefits to 1 organization
I20170228000840 IA Practitioner - Emergency Medicine 3375437510 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6035NDMDClinical Social Worker
38054MNMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
Ida County Iowa Community Hospital Current Accepting new patients
Seven Hills Emergency Group, PC Emergency Medicine CurrentSince Jul 17, 2021 Accepting new patients
Sanford Health Network CurrentSince May 25, 2011 Accepting new patients
Sanford Health Network CurrentSince May 25, 2011 Accepting new patients
Sanford Health Network Emergency Medicine Current Accepting new patients
Lakes Regional Healthcare CurrentSince May 1, 2018 Accepting new patients
United Emergency Services, Inc. Emergency Medicine Past Accepting new patients
Presentation Medical Center Past Accepting new patients

Locations

701 E 2nd St
Ida Grove, IA 51445
Phone (712) 364-3311

1000 W Lincoln Way
Jefferson, IA 50129
Phone (515) 386-2114

2301 Highway 71
Spirit Lake, IA 51360
Phone (712) 336-3750

300 S Bruce St
Marshall, MN 56258
Phone (507) 532-9631

2150 Hospital Dr
Windom, MN 56101
Phone (507) 831-0618

1018 6th Ave
Worthington, MN 56187
Phone (507) 343-6100

Interoperability endpoints

  • Direct secure messaging: aqazi437789@direct.unitypoint.org

Organizations & group practices 10

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": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323820800000",
    "number": "1720050560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1265 BEVERLY RD",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221012802",
            "telephone_number": "703-917-9696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 BEVERLY RD",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221012802",
            "telephone_number": "703-917-9696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QAZI",
        "first_name": "AMER",
        "middle_name": "G.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-06",
        "last_updated": "2011-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MN",
            "license": "38054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McLean, VA

Sources for this page

Verify at the official NPI Registry.