NPIMap

Individual provider Active NPI

Hammad Qadir

  • Nephrology Physician
  • North Bend, OR
National Provider Identifier
1750460192
Registry record updated Aug 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD197421 Issued in OR
Practice address
1860 Virginia Ave Ste 8
North Bend, OR 97459-2355
Phone
(541) 808-2412
Fax
(541) 808-2411
NPI assigned
Nov 5, 2006
Last updated
Aug 26, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X MD197421 OR Primary

Addresses

Primary practice location

1860 Virginia Ave Ste 8
North Bend, OR 97459-2355

Mailing address

2008 State St
North Bend, OR 97459-1364
Phone (541) 217-8790

Other practice location 1

1 medical center drive
morgantown, WV 26506
Phone (304) 598-4800

Other identifiers 3

IdentifierTypeStateIssuer
500719505MedicaidOR
154562001MedicaidAR
209178904MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20170228002708 OR Practitioner - NephrologyPractitioner - Internal Medicine 2365413952 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1860 Virginia Ave
Suite 8
North Bend, OR 97459-2355
Phone (541) 808-2412

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD197421ORMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Area Hospital District CurrentSince Jan 15, 2021 Accepting new patients
Bay Area Hospital District CurrentSince Jan 15, 2021 Accepting new patients
North Bend Medical Center Inc CurrentSince Feb 1, 2019 Accepting new patients
Bay Clinic CurrentSince Feb 1, 2017 Accepting new patients
HMZ Ventures Corporation Nephrology CurrentSince Mar 25, 2019 Accepting new patients
Kidney & Hypertension Institute of Northern Utah LLC Nephrology Past Accepting new patients
Liberty Dialysis-Woods Cross LLC Past Accepting new patients
City of Hope Medical Group of Illinois PLLC Past Accepting new patients
Hospitalist Medicine Physicians of Wisconsin, LTD Past Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

Dept LA 25339
Pasadena, CA 91185

1740 Thompson Rd
Coos Bay, OR 97420
Phone (541) 266-3658

1750 Thompson Rd
Coos Bay, OR 97420
Phone (541) 269-0333

1900 Woodland Dr
Coos Bay, OR 97420
Phone (541) 267-5151

2650 N 17th St
Coos Bay, OR 97420
Phone (541) 267-5411

1860 Virginia Ave
Ste 8
North Bend, OR 97459
Phone (541) 756-7568

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/bea62b1d-5b0c-4c1a-bdbd-eaa129312421/

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.

Hospital & facility affiliations 7

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": "1162684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598400000000",
    "number": "1750460192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2008 STATE ST",
            "city": "NORTH BEND",
            "state": "OR",
            "postal_code": "974591364",
            "telephone_number": "541-217-8790",
            "fax_number": "541-808-2411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 VIRGINIA AVE STE 8",
            "city": "NORTH BEND",
            "state": "OR",
            "postal_code": "974592355",
            "telephone_number": "541-808-2412",
            "fax_number": "541-808-2411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 medical center drive",
            "address_purpose": "LOCATION",
            "city": "morgantown",
            "state": "WV",
            "postal_code": "26506",
            "country_code": "US",
            "telephone_number": "304-598-4800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QADIR",
        "first_name": "HAMMAD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-05",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "OR",
            "license": "MD197421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500719505",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154562001",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209178904",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bend, OR

Sources for this page

Verify at the official NPI Registry.