Organization Active NPI

Muhammad Irfan Qadir M.D. L.L.C.

  • Nephrology Physician
  • Mount Vernon, NY
National Provider Identifier
1821164765
Registry record updated Oct 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
2043421 Issued in NY
Legal business name
MUHAMMAD IRFAN QADIR M.D. L.L.C.
Practice address
514 Gramatan Ave
Suite P3
Mount Vernon, NY 10552-3054
Phone
(845) 627-6114
NPI assigned
Nov 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2007

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

Authorized official

Name
Muhammad Qadir, M.D.NPI 1154416071
Title
Owner
Phone
(845) 627-6114

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X 2043421 NY Primary

Addresses

Primary practice location

514 Gramatan Ave
Suite P3
Mount Vernon, NY 10552-3054

Mailing address

72 Palmer Ave
Scarsdale, NY 10583-7231
Phone (845) 627-6114

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071228000115 NY Part B Supplier - Clinic/Group Practice 1951389709 Receives reassigned benefits from 1 practitioner
Practice locations: Mount Vernon, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192492800000",
    "number": "1821164765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 PALMER AVE",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105837231",
            "telephone_number": "845-627-6114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 GRAMATAN AVE",
            "address_2": "SUITE P3",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105523054",
            "telephone_number": "845-627-6114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUHAMMAD IRFAN QADIR M.D. L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-24",
        "last_updated": "2007-10-16",
        "status": "A",
        "authorized_official_last_name": "QADIR",
        "authorized_official_first_name": "MUHAMMAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-627-6114",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "2043421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.