NPIMap

Individual provider Active NPI

Shadi Ali Qasqas, M.D.

  • Interventional Cardiology Physician
  • Rancho Cucamonga, CA
National Provider Identifier
1740498328
Registry record updated May 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
A102826 Issued in CA
Practice address
12223 Highland Ave
Ste 106-551
Rancho Cucamonga, CA 91739-2574
Phone
(877) 363-9590
Fax
(951) 240-3715
NPI assigned
May 18, 2007
Last updated
May 2, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X A102826 CA
Interventional Cardiology Physician 207RI0011X A102826 CA Primary

Addresses

Primary practice location

12223 Highland Ave
Ste 106-551
Rancho Cucamonga, CA 91739-2574

Mailing address

31571 Canyon Estates Dr
Suite 228
Lake Elsinore, CA 92532-0471
Phone (877) 363-9590

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081120000015 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6800956848 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
New York Medical College, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

31571 Canyon Estates Dr
Suite 228
Lake Elsinore, CA 92532-0425
Phone (877) 363-9590

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.05 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
56.82

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting29
Pacemaker insertion or repair18
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A102826CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shadi a. Qasqas MD, Inc. Cardiovascular Disease CurrentSince Sep 9, 2009 Accepting new patients
Riverside Healthcare System, L.P. Past Accepting new patients
Doctors Hospital of Riverside LLC Past Accepting new patients
Universal Health Services of Rancho Springs Inc Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

31571 Canyon Estates Dr
Ste 228
Lake Elsinore, CA 92532
Phone (877) 363-9590

12223 Highland Ave
Ste 106551
Rch Cucamonga, CA 91739
Phone (877) 363-9590

4440 Brockton Ave
Ste 300
Riverside, CA 92501
Phone (714) 676-3880

4646 Brockton Ave
Ste 202-4
Riverside, CA 92506
Phone (951) 471-0200

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

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.

Hospital & facility affiliations 5

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": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493683200000",
    "number": "1740498328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31571 CANYON ESTATES DR",
            "address_2": "SUITE 228",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925320471",
            "telephone_number": "877-363-9590",
            "fax_number": "951-240-3715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12223 HIGHLAND AVE",
            "address_2": "STE 106-551",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917392574",
            "telephone_number": "877-363-9590",
            "fax_number": "951-240-3715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QASQAS",
        "first_name": "SHADI",
        "middle_name": "ALI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2017-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A102826",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "A102826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

Verify at the official NPI Registry.