Individual provider Active NPI

Humair Syed Quadri, M.D.

  • Surgical Oncology Physician
  • Baltimore, MD
National Provider Identifier
1841556875
Registry record updated Feb 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Oncology PhysicianTaxonomy code 2086X0206X
License
D94102 Issued in MD
Practice address
3407 Wilkens Ave Ste 410
Baltimore, MD 21229-5074
Phone
(443) 574-8500
Fax
(443) 719-0094
NPI assigned
Apr 3, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Oncology Physician 2086X0206X A162215 CA
Surgical Oncology Physician 2086X0206X D94102 MD Primary

Addresses

Primary practice location

3407 Wilkens Ave Ste 410
Baltimore, MD 21229-5074

Mailing address

3407 Wilkens Ave Ste 410
Baltimore, MD 21229-5074
Phone (443) 574-8500

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
I20220518000573 MD Practitioner - Surgical Oncology 8628455367 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Surgical Oncology
Education
Georgetown University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Agnes Healthcare IncGroup PAC ID 9830092733, 265 clinicians

Practice addresses (Care Compare)

3407 Wilkens Ave
410 Maryland Surgeons
Baltimore, MD 21229-5074
Phone (443) 574-8500

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision33
Removal of tissue1-10
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A162215CAMDSurgical Oncology Physician
D94102MDMDSurgical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Agnes Healthcare Inc CurrentSince Jun 20, 2022 Accepting new patients
St Agnes Healthcare Inc CurrentSince Jun 20, 2022 Accepting new patients
St. Agnes Healthcare, Inc. Past Accepting new patients

Locations

2801 Foster Ave
Baltimore, MD 21224
Phone (410) 342-0333

900 S Caton Ave
Baltimore, MD 21229
Phone (410) 368-3120

3407 Wilkens Ave
Ste 410
Baltimore, MD 21229
Phone (443) 574-8500

700 Geipe Rd
Ste 200
Catonsville, MD 21228
Phone (410) 292-0038

Interoperability endpoints

  • Direct secure messaging: hquadri1074776@direct.hopkinsmedicine.org

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 1

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": "1333411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675728000000",
    "number": "1841556875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3407 WILKENS AVE STE 410",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212295074",
            "telephone_number": "443-574-8500",
            "fax_number": "443-719-0094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3407 WILKENS AVE STE 410",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212295074",
            "telephone_number": "443-574-8500",
            "fax_number": "443-719-0094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUADRI",
        "first_name": "HUMAIR",
        "middle_name": "SYED",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-03",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "CA",
            "license": "A162215",
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "MD",
            "license": "D94102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.