Kiran Baig Qidwai, M.D.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

A121592 Issued in CA

Practice address

501 S Buena Vista St
Burbank, CA 91505-4809

Phone

(818) 847-4412

NPI assigned

Apr 22, 2011

Last updated

Jul 29, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Pathology

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pathology Associates of Southern CaliforniaGroup PAC ID 2860482635, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Providence Saint Joseph Medical Ctr Hospital, Burbank, CA, CCN 050235
• Saint John's Health Center Hospital, Santa Monica, CA, CCN 050290
• Providence Holy Cross Medical Center Hospital, Mission Hills, CA, CCN 050278

Merit-based Incentive Payment System (MIPS)

Final score

98.47 of 100Reported as group

Quality

76.94

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kqidwai1747768@oc.providencedirect.org

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.

• Pathology Associates of Southern California

  • Anatomic Pathology & Clinical Pathology Physician
  • Burbank, CA
  • NPI 1912991597
  Medicare reassignment Care Compare group NPD
• San Gabriel Valley Consulting Pathologists Medical Group, Inc.

  • Anatomic Pathology & Clinical Pathology Physician
  • San Gabriel, CA
  • NPI 1255390837
  Medicare reassignment NPD
• San Gabriel Valley Consulting Pathologists Medical Group, Inc.

  • Anatomic Pathology & Clinical Pathology Physician
  • Monterey Park, CA
  • NPI 1427019173
  NPD
• San Gabriel Valley Consulting Pathologists Medical Group, Inc.

  • Anatomic Pathology & Clinical Pathology Physician
  • West Covina, CA
  • NPI 1851352256
  NPD
• San Gabriel Valley Consulting Pathologists Medical Group, Inc.

  • Anatomic Pathology & Clinical Pathology Physician
  • South El Monte, CA
  • NPI 1700845179
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Providence Health System - Southern California

  dba Providence Saint Joseph Medical Center

  • General Acute Care Hospital
  • Burbank, CA
  • NPI 1336173269
  Care Compare affiliation
• Providence Health System - Southern California

  dba Providence Holy Cross Medical Center

  • General Acute Care Hospital
  • Mission Hills, CA
  • NPI 1477587632
  Care Compare affiliation
• Providence Saint John's Health Center

  • General Acute Care Hospital
  • Santa Monica, CA
  • NPI 1124026273
  Care Compare affiliation

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

{
    "created_epoch": "1303430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659052800000",
    "number": "1720379985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S BUENA VISTA ST",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054809",
            "telephone_number": "818-847-4412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S BUENA VISTA ST",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054809",
            "telephone_number": "818-847-4412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QIDWAI",
        "first_name": "KIRAN",
        "middle_name": "BAIG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-22",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "A121592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aret Purut, PHARMD
• Purvi Rashmikant Patel MD a Medical Corporation
• Lakshmidevi Putta, MD
• Q-Metrx, Inc. (Valley Sleep Center)
• Qa Care Hospice
• Donna Quach, MFTI
• Quynh Thien Quach, D.O.
• Quad Therapy Inc
• Quality CLHF, Inc.
• Quality Health Care Products, Inc.

• Anatomic Pathology & Clinical Pathology Physician in Burbank, CA
• Providers in Burbank, CA by specialty
• Anatomic Pathology & Clinical Pathology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.