Individual provider Active NPI

Jazibeh Aleem Qureshi, M.D.

  • Rheumatology Physician
  • Catonsville, MD
National Provider Identifier
1831318583
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
D0062739 Issued in MD
Practice address
724 Maiden Choice LN Ste 201
Catonsville, MD 21228-5962
Phone
(410) 650-4121
Fax
(877) 763-4971
NPI assigned
Apr 24, 2007
Last updated
Jun 11, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X D0062739 MD Primary

Addresses

Primary practice location

724 Maiden Choice LN Ste 201
Catonsville, MD 21228-5962

Mailing address

724 Maiden Choice LN Ste 201
Catonsville, MD 21228-5962
Phone (410) 650-4121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20090310000271 MD Practitioner - RheumatologyPractitioner - Internal Medicine 6709776131 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4660 Wilkens Ave
Suite 205
Baltimore, MD 21229-4846
Phone (410) 650-4121

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0062739MDMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Express Clinic LLC CurrentSince Nov 3, 2020 Accepting new patients
Rheumatology Express LLC Rheumatology Current Accepting new patients
Rheumatology Express LLC Rheumatology CurrentSince Apr 9, 2016 Accepting new patients
JQ Associates, LLC Rheumatology Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

4660 Wilkens Ave
Ste 205
Baltimore, MD 21229
Phone (410) 650-4121

724 Maiden Choice Ln
Ste 201
Catonsville, MD 21228
Phone (410) 650-4121

1380 Progress Way
Ste 112
Eldersburg, MD 21784
Phone (410) 549-2000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25869/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/EGBGAD

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.

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1831318583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 MAIDEN CHOICE LN STE 201",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212285962",
            "telephone_number": "410-650-4121",
            "fax_number": "877-763-4971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 MAIDEN CHOICE LN STE 201",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212285962",
            "telephone_number": "410-650-4121",
            "fax_number": "877-763-4971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QURESHI",
        "first_name": "JAZIBEH",
        "middle_name": "ALEEM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "MD",
            "license": "D0062739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Catonsville, MD

Sources for this page

Verify at the official NPI Registry.