Individual provider Active NPI

Irfan Riaz Qureshi, M.D.

  • Surgical Critical Care Physician
  • Pine Bluff, AR
National Provider Identifier
1881853133
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Critical Care PhysicianTaxonomy code 2086S0102X
License
E-13306 Issued in AR
Practice address
1609 W 40TH Ave Ste 403
Pine Bluff, AR 71603-6365
Phone
(870) 541-6070
Fax
(870) 541-6071
NPI assigned
Jun 3, 2008
Last updated
Jul 13, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD-45504 IA
Surgery Physician 208600000X DR.0059360 CO
Surgical Critical Care Physician 2086S0102X E-13306 AR Primary

Addresses

Primary practice location

1609 W 40TH Ave Ste 403
Pine Bluff, AR 71603-6365

Mailing address

PO Box 2650
Pine Bluff, AR 71613-2650
Phone (870) 541-7211

Other practice location 1

1000 Lincoln St Ste 208
Fort Morgan, CO 80701-3290
Phone (970) 542-4371

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, KY, AR, GA, TX5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20190213002742 CO Practitioner - General Surgery 5799006508 Reassigns benefits to 3 organizations
I20200413002211 KY Practitioner - General Surgery 5799006508 Reassigns benefits to 1 organization
I20200623000221 AR Practitioner - Critical Care (Intensivists)Practitioner - General Surgery 5799006508 Reassigns benefits to 6 organizations
I20230503003004 GA Practitioner - Critical Care (Intensivists)Practitioner - General Surgery 5799006508 Reassigns benefits to 2 organizations
I20260204003970 TX Practitioner - General Surgery 5799006508 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: General Surgery
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crossett Health FoundationGroup PAC ID 9133030117, 23 clinicians
Sark OplGroup PAC ID 7810261088, 5 clinicians
Acute Care Surgical Affiliates of Texas PAGroup PAC ID 9931446481, 44 clinicians
Ouachita County Medical CenterGroup PAC ID 4587641055, 29 clinicians

Practice addresses (Care Compare)

1015 Unity Rd
Crossett, AR 71635-9443
Phone (870) 364-0590

1507 Linwood Dr
Paragould, AR 72450-5818
Phone (870) 239-8105

1609 W 40TH Ave
Suite 403
Pine Bluff, AR 71603-6365
Phone (870) 534-4188

613 Elizabeth St
Suite 200
Corpus Christi, TX 78404-2221
Phone (361) 434-0966

638 California Ave SW
Camden, AR 71701-4604
Phone (870) 836-1000

7200 S Hazel St
Pine Bluff, AR 71603-7836

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0059360COMDSurgery Physician
MD-45504IAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kremmling Memorial Hospital District CurrentSince Nov 15, 2022 Accepting new patients
Jefferson Hospital Association, Inc CurrentSince Jul 21, 2023 Accepting new patients
Ouachita Physician Services, LLC CurrentSince Sep 1, 2022 Accepting new patients
Ouachita County Medical Center CurrentSince Sep 1, 2025 Accepting new patients
Jackson Hospital Corporation CurrentSince Dec 3, 2021 Accepting new patients
Ouachita County Medical Center CurrentSince Sep 1, 2025 Accepting new patients
Acute Care Surgical Affiliates of Texas PA Surgery CurrentSince Jan 28, 2026 Accepting new patients
South Arkansas Physician Services LLC CurrentSince Jun 1, 2022 Accepting new patients
Acute Care Surgery Medical Group, Inc. Surgery CurrentSince Dec 1, 2024 Accepting new patients
Phoebe Physician Group, Inc CurrentSince Mar 1, 2025 Accepting new patients
Usacs Observation Medicine Services of Colorado Inc. CurrentSince Feb 2, 2026 Accepting new patients
Crossett Health Foundation CurrentSince Dec 7, 2025 Accepting new patients
Sark Opl CurrentSince Jan 1, 2025 Accepting new patients
Kremmling Memorial Hospital District CurrentSince Nov 15, 2022 Accepting new patients
Crossett Health Foundation CurrentSince Dec 7, 2025 Accepting new patients
Usacs Observation Medicine Services of Colorado Inc. CurrentSince Feb 2, 2026 Accepting new patients
Acute Care Surgery Medical Group, Inc. Surgery CurrentSince May 1, 2023 Accepting new patients
Ouachita Physician Services CurrentSince Sep 1, 2022 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Aug 16, 2021 Accepting new patients
Colorado Plains Physician Practices LLC CurrentSince Feb 1, 2019 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Aug 16, 2021 Accepting new patients
Jefferson Hospital Association, Inc Surgery CurrentSince Jul 21, 2023 Accepting new patients
Jackson Hospital Corporation CurrentSince Dec 3, 2021 Accepting new patients
Sidarous, LLC PastSince Jul 2, 2018 Accepting new patients
Crossett Health Foundation PastSince Dec 7, 2025 Accepting new patients

Locations (25 of 26)

415 Hospital Dr
Camden, AR 71701
Phone (870) 836-5013

476 Hospital Dr
Camden, AR 71701
Phone (870) 800-9002

1015 Unity Rd
Crossett, AR 71635
Phone (870) 364-0590

1015 Unity Rd
#400
Crossett, AR 71635
Phone (870) 364-1272

638 California Ave SW
East Camden, AR 71701
Phone (870) 836-1000

620 W Grove St
Ste 202
El Dorado, AR 71730
Phone (870) 863-2420

7001 Rogers Ave
Ste 200
Fort Smith, AR 72903
Phone (479) 314-4620

7301 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-4600

1507 Linwood Dr
Paragould, AR 72450
Phone (870) 239-8105

1600 W 40th Ave
Pine Bluff, AR 71603
Phone (870) 541-7100

1601 W 40th Ave
Ste 301
Pine Bluff, AR 71603
Phone (870) 541-4285

1609 W 40th Ave
Ste 403
Pine Bluff, AR 71603
Phone (870) 534-4188

7200 S Hazel St
Pine Bluff, AR 71603
Phone (870) 534-2900

1000 Lincoln St
Ste 208
Fort Morgan, CO 80701
Phone (970) 542-4371

220 E Beaver Ave
Fort Morgan, CO 80701
Phone (970) 458-5216

1000 Granby Park Dr S
Granby, CO 80446
Phone (970) 668-5771

11600 W 2nd Pl
Lakewood, CO 80228
Phone (720) 321-1010

2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802

151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900

1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000

150 Eagle Spring Ct
Ste A
Stockbridge, GA 30281
Phone (404) 299-3338

424 Jett Dr
Jackson, KY 41339
Phone (606) 666-2960

540 Jett Dr
Jackson, KY 41339
Phone (606) 666-4971

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

600 Elizabeth St
Corpus Christi, TX 78404
Phone (361) 325-2511

Interoperability endpoints

  • Direct secure messaging: irquresh@yourcarecommunity.org

Organizations & group practices 26

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.

View all 26

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1881853133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2650",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716132650",
            "telephone_number": "870-541-7211",
            "fax_number": "870-541-4297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 W 40TH AVE STE 403",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716036365",
            "telephone_number": "870-541-6070",
            "fax_number": "870-541-6071"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Lincoln St Ste 208",
            "address_purpose": "LOCATION",
            "city": "Fort Morgan",
            "state": "CO",
            "postal_code": "807013290",
            "country_code": "US",
            "telephone_number": "970-542-4371",
            "fax_number": "970-542-4373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QURESHI",
        "first_name": "IRFAN",
        "middle_name": "RIAZ",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-03",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IA",
            "license": "MD-45504",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CO",
            "license": "DR.0059360",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "AR",
            "license": "E-13306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pine Bluff, AR

Sources for this page

Verify at the official NPI Registry.