Individual provider Active NPI

Moqueet Arshad Qureshi, M.D.

  • Vascular Surgery Physician
  • Watertown, CT
National Provider Identifier
1851573281
Registry record updated Apr 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
67273 Issued in CT
Practice address
595 Straits Tpke Unit 2
Watertown, CT 06795-3356
Phone
(844) 482-7285
NPI assigned
Nov 27, 2007
Last updated
Apr 29, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X A137702 CA
Vascular Surgery Physician 2086S0129X 67273 CT Primary

Addresses

Primary practice location

595 Straits Tpke Unit 2
Watertown, CT 06795-3356

Mailing address

6 Research Dr Ste 105
Shelton, CT 06484-6228
Phone (203) 210-6340

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20210208002017 CT Practitioner - Vascular Surgery 3173827235 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Connecticut Vascular Center LLCGroup PAC ID 8527951532, 32 clinicians

Practice addresses (Care Compare)

595 Straits Tpke
Unit 2
Watertown, CT 06795-3356
Phone (203) 262-9979

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.63 of 100Reported as group
Promoting interoperability
88
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal31
Leg revascularization (restoring blood flow)35
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A137702CAMDVascular Surgery Physician
67273CTMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Connecticut Vascular Center, LLC Vascular Surgery CurrentSince Feb 15, 2021 Accepting new patients

Locations

7 Germantown Rd
Ste 2B
Danbury, CT 06810
Phone (203) 210-6340

47 Palomba Dr
Ste 202
Enfield, CT 06082
Phone (860) 247-3279

55 South Rd
Ste 110
Farmington, CT 06032
Phone (860) 773-0313

79 Wawecus St
Ste 104
Norwich, CT 06360
Phone (860) 237-5458

6 Research Dr
Ste 105
Shelton, CT 06484
Phone (203) 210-6717

495 Hawley Ln
Ste 2A
Stratford, CT 06614
Phone (203) 210-6333

595 Straits Tpke
Ste 2
Watertown, CT 06795
Phone (203) 210-6340

Interoperability endpoints

  • Direct secure messaging: moqueet.qureshi.1@32135.direct.athenahealth.com
  • Direct secure messaging: mqureshi@vascularexperts.directbygreenway.com

Organizations & group practices 1

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 3

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": "1196121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651190400000",
    "number": "1851573281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 RESEARCH DR STE 105",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064846228",
            "telephone_number": "203-210-6340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 STRAITS TPKE UNIT 2",
            "city": "WATERTOWN",
            "state": "CT",
            "postal_code": "067953356",
            "telephone_number": "844-482-7285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QURESHI",
        "first_name": "MOQUEET",
        "middle_name": "ARSHAD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-27",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "A137702",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CT",
            "license": "67273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, CT

Sources for this page

Verify at the official NPI Registry.