Individual provider Active NPI

Atif Qadeer, MD

  • Internal Medicine Physician
  • Montclair, CA
National Provider Identifier
1730160201
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C143511 Issued in CA
Practice address
9525 Monte Vista Ave # 105
Montclair, CA 91763-2231
Phone
(909) 626-1205
NPI assigned
Nov 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X C143511 CA
Internal Medicine Physician 207R00000X C143511 CA Primary

Addresses

Primary practice location

9525 Monte Vista Ave # 105
Montclair, CA 91763-2231

Mailing address

9525 Monte Vista Ave Ste 105
Montclair, CA 91763-2231
Phone (909) 626-1205

Other identifiers 2

IdentifierTypeStateIssuer
200268160GMedicaidKS
003719133OtherMEDICARE

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20161019000407 CA Practitioner - Internal Medicine 9032188255 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Inland Physicians Primary Care ServicesGroup PAC ID 4385047380, 8 clinicians
Inland Physicians Hospitalist ServicesGroup PAC ID 5294135612, 14 clinicians

Practice addresses (Care Compare)

9525 Monte Vista Ave
Suite 105
Montclair, CA 91763-2231
Phone (909) 626-1205

999 San Bernardino Rd
Upland, CA 91786-4920
Phone (909) 985-2811

Hospital & facility affiliations

  • San Antonio Regional Hospital Hospital, Upland, CA, CCN 050099
  • Pomona Valley Hospital Medical Center Hospital, Pomona, CA, CCN 050231
  • Montclair Hospital Medical Center Hospital, Montclair, CA, CCN 050758
  • Casa Colina Hospital Hospital, Pomona, CA, CCN 050782
  • Chino Valley Medical Center Hospital, Chino, CA, CCN 050586
  • Casa Colina Hosp for Rehab Medicine Inpatient rehabilitation facility, Pomona, CA, CCN 05T782
  • Rancho Mesa Care Center Nursing home, Alta Loma, CA, CCN 555521
  • Montclair Manor Care Center Nursing home, Montclair, CA, CCN 055718
  • Upland Rehabilitation and Care Center Nursing home, Upland, CA, CCN 055374

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C143511CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inland Pulmonary Medical Group Internal Medicine CurrentSince Oct 1, 2016 Accepting new patients
Casa Colina Hospital and Centers for Healthcare Current Accepting new patients
Inland Physicians Primary Care Services Internal Medicine CurrentSince Jun 1, 2021 Accepting new patients
Inland Physicians Hospitalist Services Hospitalist CurrentSince May 1, 2021 Accepting new patients
Yong Luke Lee Medical Corporation Past Accepting new patients
Dodge City Medical Center Chartered Internal Medicine Past Accepting new patients
Prime Healthcare Services - Montclair, LLC Past Accepting new patients

Locations

5451 Walnut Ave
Chino, CA 91710
Phone (909) 464-8600

9655 Monte Vista Ave
Ste 402
Montclair, CA 91763
Phone (909) 591-6575

5000 San Bernardino St
Montclair, CA 91763
Phone (909) 625-4111

9635 Monte Vista Ave
Ste 204
Montclair, CA 91763
Phone (909) 906-3446

9525 Monte Vista Ave
Unit 105
Montclair, CA 91763
Phone (909) 626-1205

255 E Bonita Ave
Pomona, CA 91767
Phone (866) 724-4127

1798 N Garey Ave
Pomona, CA 91767
Phone (909) 865-9810

999 San Bernardino Rd
Upland, CA 91786
Phone (909) 920-4841

1113 Alta Ave
Ste 220
Upland, CA 91786
Phone (909) 985-1908

637 N 13th Ave
Upland, CA 91786
Phone (909) 625-1977

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: a.qadeer@ipmg.directbygreenway.com
  • Direct secure messaging: casacolina@direct.casacolina.org

Organizations & group practices 7

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.

Hospital & facility affiliations 10

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": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1730160201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9525 MONTE VISTA AVE STE 105",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917632231",
            "telephone_number": "909-626-1205",
            "fax_number": "909-625-1977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9525 MONTE VISTA AVE # 105",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917632231",
            "telephone_number": "909-626-1205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QADEER",
        "first_name": "ATIF",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "C143511",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C143511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200268160G",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "003719133",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, CA

Sources for this page

Verify at the official NPI Registry.