Individual provider Active NPI

Qazi Faizan Haider, MD

  • Internal Medicine Physician
  • Lancaster, OH
National Provider Identifier
1801475504
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
39-020000X Issued in OH
Practice address
135 N Ewing St Ste 304
Lancaster, OH 43130-3379
Phone
(740) 687-8397
NPI assigned
Apr 7, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 39-020000X OH Primary

Addresses

Primary practice location

135 N Ewing St Ste 304
Lancaster, OH 43130-3379

Mailing address

2405 N Columbus St Ste 260
Lancaster, OH 43130-8100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20241105000000 OK Practitioner - Internal Medicine 6103275615 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optimum Care Hospitalist Group PLLCGroup PAC ID 3779862446, 22 clinicians
Midwest Hospitalist Group PLLCGroup PAC ID 9133465354, 18 clinicians

Practice addresses (Care Compare)

1 S Bryant Ave
Edmond, OK 73034-6309
Phone (405) 341-6100

2825 Parklawn Dr
Midwest City, OK 73110-4201
Phone (405) 245-1453

Hospital & facility affiliations

  • SSM Health St Anthony Hospital - Midwest Hospital, Midwest City, OK, CCN 370094
  • SSM Health St Anthony Hospital - Oklahoma City Hospital, Oklahoma City, OK, CCN 370037

Merit-based Incentive Payment System (MIPS)

Final score
69.13 of 100Reported as group
Quality
50.94
Improvement activities
30
Cost
71.99

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
39-020000XOHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Hospitalist Group PLLC Internal Medicine CurrentSince Oct 1, 2024 Accepting new patients
Optimum Care Hospitalist Group PLLC Internal Medicine CurrentSince Jan 2, 2025 Accepting new patients
SSM Health Care of Oklahoma, Inc Past Accepting new patients

Locations

1501 E 19th St
Edmond, OK 73013
Phone (405) 348-6611

1 S Bryant Ave
Edmond, OK 73034
Phone (405) 341-6100

1104 E State Highway 152
#1
Mustang, OK 73064
Phone (405) 376-9544

2825 Parklawn Dr
Oklahoma City, OK 73110
Phone (405) 245-1453

Interoperability endpoints

  • Direct secure messaging: qhaider520956@direct-ehr-ssmhc.com

Organizations & group practices 3

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 4

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": "1617753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1801475504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2405 N COLUMBUS ST STE 260",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431308100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 N EWING ST STE 304",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431303379",
            "telephone_number": "740-687-8397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAIDER",
        "first_name": "QAZI",
        "middle_name": "FAIZAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-07",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "39-020000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, OH

Sources for this page

Verify at the official NPI Registry.