Active NPI
Ghazanfar Husein Qureshi, MD
- Cardiovascular Disease Physician
- Tucker, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 81220
- Practice address
- 1468 Montreal Rd
Tucker, GA 30084-6901 - Phone
- (470) 273-6263
- Fax
- (678) 916-4957
- NPI assigned
- Jul 16, 2008
- Last updated
- Dec 19, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 253253-1 | NY | |
| Internal Medicine Physician | 207R00000X | D0066145 | MD | |
| Cardiovascular Disease Physician | 207RC0000X | 32594 | AL | |
| Cardiovascular Disease Physician | 207RC0000X | 81220 | GA | Primary |
| Hospitalist Physician | 208M00000X | TMP-01972 | WV |
Addresses
Primary practice location
1468 Montreal Rd
Tucker, GA 30084-6901
Mailing address
1468 Montreal Rd # 320
Tucker, GA 30084-6901
Phone (470) 273-6263
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12563410 | Other | GA | CAQH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Cleveland University of Medicine and Surgery - NLG, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1468 Montreal Rd
Tucker, GA 30084-6901
Phone (770) 638-1400
Hospital & facility affiliations
- Emory Johns Creek Hospital
- Saint Joseph's Hospital of Atlanta, Inc
- Northside Hospital Forsyth
- Emory Decatur Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.16 of 100
- Promoting interoperability
- 95
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 23 |
| Pacemaker insertion or repair | 1-10 |
| Varicose vein removal | 1-10 |
| Leg revascularization (restoring blood flow) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0066145 | MD | MD | Internal Medicine Physician |
| 32594 | AL | MD | Cardiovascular Disease Physician |
| TMP-01972 | WV | MD | Hospitalist Physician |
| 253253-1 | NY | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of South Alabama | Current | Accepting new patients | |
| University of South Alabama | Internal Medicine | Current | Accepting new patients |
| Atlanta Heart Specialists LLC | Internal Medicine | Current | Accepting new patients |
| University of South Alabama | Internal Medicine | Current | Accepting new patients |
| United Physicians Care Inc | Internal Medicine | Past | Accepting new patients |
Locations
1660 Spring Hill Ave
Mobile, AL 36604
Phone (251) 445-9616
1660 Spring Hill Ave
Ste 3069
Mobile, AL 36604
Phone (251) 445-8405
2451 Fillingim St
Mobile, AL 36617
Phone (251) 434-3711
1200 Northside Forsyth Dr
Cumming, GA 30041
Phone (770) 292-4806
3275 Market Place Blvd
Ste 100
Cumming, GA 30041
Phone (770) 292-1900
2801 N Decatur Rd
Ste 395
Decatur, GA 30033
Phone (404) 298-2220
4120 Five Forks Trickum Rd SW
Ste 103
Lilburn, GA 30047
Phone (470) 545-6702
5667 Peachtree Dunwoody Rd
Ste 390
Sandy Springs, GA 30342
Phone (404) 250-4530
4375 Johns Creek Pkwy
Ste 350
Suwanee, GA 30024
Phone (770) 622-1622
1468 Montreal Rd
Tucker, GA 30084
Phone (770) 638-1400
1468 Montreal Rd
#320
Tucker, GA 30084
Interoperability endpoints
- ghazanfar.qureshi@ahs1468.eclinicaldirectplus.com
- ghazanfar.qureshi@ahsmed.gadirect.net
- https://fhir4.healow.com/fhir/r4/FIFCAA
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.
-
- Cardiovascular Disease Physician
- Tucker, GA
- NPI 1891881827
Internal Medicine
-
- Clinical Medical Laboratory
- Mobile, AL
- NPI 1497859052
-
dba USA Student Health Center
- Family Medicine Physician
- Mobile, AL
- NPI 1992746838
Internal Medicine
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Emory Decatur Hospital
- General Acute Care Hospital
- Decatur, GA
- NPI 1093716979
-
dba Emory Johns Creek Hospital
- General Acute Care Hospital
- Johns Creek, GA
- NPI 1679632137
-
dba Northside Hospital Forsyth
- General Acute Care Hospital
- Cumming, GA
- NPI 1376574277
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1679664395
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545177600000",
"number": "1821252081",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1468 MONTREAL RD # 320",
"city": "TUCKER",
"state": "GA",
"postal_code": "300846901",
"telephone_number": "470-273-6263",
"fax_number": "678-916-4957"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1468 MONTREAL RD",
"city": "TUCKER",
"state": "GA",
"postal_code": "300846901",
"telephone_number": "470-273-6263",
"fax_number": "678-916-4957"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QURESHI",
"first_name": "GHAZANFAR",
"middle_name": "HUSEIN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-16",
"last_updated": "2018-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NY",
"license": "253253-1",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "D0066145",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "AL",
"license": "32594",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "GA",
"license": "81220",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "WV",
"license": "TMP-01972",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "12563410",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tucker, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.