Individual provider Active NPI

Ghazanfar Husein Qureshi, MD

  • Cardiovascular Disease Physician
  • Tucker, GA
National Provider Identifier
1821252081
Registry record updated Dec 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
81220 Issued in GA
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, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2018

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
12563410OtherGACAQH

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190107003300 GA Practitioner - Cardiovascular Disease (Cardiology) 3375609142 Reassigns benefits to 1 organization

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
Atlanta Heart Specialists LLCGroup PAC ID 9537134341, 21 clinicians

Practice addresses (Care Compare)

1468 Montreal Rd
Tucker, GA 30084-6901
Phone (770) 638-1400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.16 of 100Reported as group
Promoting interoperability
95
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting23
Pacemaker insertion or repair1-10
Varicose vein removal1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0066145MDMDInternal Medicine Physician
32594ALMDCardiovascular Disease Physician
TMP-01972WVMDHospitalist Physician
253253-1NYMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
University of South Alabama CurrentSince Jul 1, 2016 Accepting new patients
University of South Alabama Internal Medicine CurrentSince Jul 1, 2016 Accepting new patients
Atlanta Heart Specialists LLC Internal Medicine CurrentSince Nov 9, 2018 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

  • Direct secure messaging: ghazanfar.qureshi@ahs1468.eclinicaldirectplus.com
  • Direct secure messaging: ghazanfar.qureshi@ahsmed.gadirect.net
  • FHIR API: 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.

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": "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

Verify at the official NPI Registry.