Individual provider Active NPI

Omar Rashid Qureshi, DO

  • Interventional Pain Medicine Physician
  • Fitchburg, MA
National Provider Identifier
1760776892
Registry record updated Apr 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
268139 Issued in MA
Practice address
33 Electric Ave Ste 102
Fitchburg, MA 01420-7954
Phone
(978) 343-7246
Fax
(978) 343-7247
NPI assigned
Jun 7, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 268137 MA
Interventional Pain Medicine Physician 208VP0014X 268139 MA Primary

Addresses

Primary practice location

33 Electric Ave Ste 102
Fitchburg, MA 01420-7954

Mailing address

33 Electric Ave Ste 102
Fitchburg, MA 01420-7954
Phone (978) 343-7246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20160929000122 MA Practitioner - Interventional Pain ManagementPractitioner - AnesthesiologyPractitioner - Addiction Medicine 3173826435 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Addiction Medicine, Anesthesiology
Education
Kansas City University of Physicians and Surgeons, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Premier Pain Management PLLCGroup PAC ID 9638412497, 7 clinicians

Practice addresses (Care Compare)

33 Electric Ave
Suite 102
Fitchburg, MA 01420-7954
Phone (978) 343-7246

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.7 of 100Reported as individual
Quality
96.9
Promoting interoperability
86
Improvement activities
40
Cost
77.9

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
268139MAMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Pain Management PLLC Pain Medicine CurrentSince Aug 3, 2018 Accepting new patients
Premier Pain Centers PLLC Pain Medicine Current Accepting new patients

Locations

198 Groton Rd
Ste 1
Ayer, MA 01432
Phone (978) 259-4700

33 Electric Ave
Ste 104105
Fitchburg, MA 01420
Phone (978) 342-8752

33 Electric Ave
Ste 102
Fitchburg, MA 01420
Phone (978) 343-3646

Interoperability endpoints

  • Direct secure messaging: omar.qureshi.1@19459.direct.athenahealth.com

Organizations & group practices 2

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 3

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": "1307404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649980800000",
    "number": "1760776892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 ELECTRIC AVE STE 102",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014207954",
            "telephone_number": "978-343-7246",
            "fax_number": "978-343-7247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 ELECTRIC AVE STE 102",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014207954",
            "telephone_number": "978-343-7246",
            "fax_number": "978-343-7247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QURESHI",
        "first_name": "OMAR",
        "middle_name": "RASHID",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-07",
        "last_updated": "2022-04-15",
        "certification_date": "2022-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "MA",
            "license": "268137",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "MA",
            "license": "268139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fitchburg, MA

Sources for this page

Verify at the official NPI Registry.