NPIMap

Individual provider Active NPI

Syed R Quadri, M.D.

  • Internal Medicine Physician
  • Elizabethtown, KY
National Provider Identifier
1912916024
Registry record updated Apr 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
34388 Issued in KY
Practice address
1311 Ring Rd
Ste 105
Elizabethtown, KY 42701-8941
Phone
(270) 769-0892
Fax
(270) 769-1857
NPI assigned
Aug 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 34388 KY Primary

Addresses

Primary practice location

1311 Ring Rd
Ste 105
Elizabethtown, KY 42701-8941

Mailing address

1321 Ring Rd
Ste 105
Elizabethtown, KY 42701-8940
Phone (270) 986-7373

Other identifiers 3

IdentifierTypeStateIssuer
64014152MedicaidKY
000000519677OtherANTHEM
7066070OtherKYAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070709000384 KY Practitioner - Internal Medicine 9931209707 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Central Medical Associates PLLCGroup PAC ID 7012226301, 12 clinicians
PT Pros, IncGroup PAC ID 0143139337, shared by 14 NPIs, 263 clinicians

Practice addresses (Care Compare)

1311 Ring Rd
Suite 105
Elizabethtown, KY 42701-8963
Phone (270) 769-0892

4031 N Dixie Hwy
Suite 104
Elizabethtown, KY 42701-7873
Phone (270) 982-4776

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Central Medical Associates PLLC Internal Medicine CurrentSince Jan 12, 2015 Accepting new patients
A.M. Faheem, M.D., P.S.C. Past Accepting new patients
Physical Therapy Associates Inc Past Accepting new patients

Locations

914 N Dixie Ave
Ste 302
Elizabethtown, KY 42701
Phone (270) 706-1943

1311 Ring Rd
Ste 105
Elizabethtown, KY 42701
Phone (270) 769-0892

1321 Ring Rd
Ste 105
Elizabethtown, KY 42701
Phone (270) 986-7372

700 W Lincoln Trail Blvd
Radcliff, KY 40160
Phone (270) 351-3192

Interoperability endpoints

  • Direct secure messaging: syed.quadri.1@15287.direct.athenahealth.com

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 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": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493164800000",
    "number": "1912916024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 RING RD",
            "address_2": "STE 105",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427018940",
            "telephone_number": "270-986-7373",
            "fax_number": "270-769-1857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 RING RD",
            "address_2": "STE 105",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427018941",
            "telephone_number": "270-769-0892",
            "fax_number": "270-769-1857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUADRI",
        "first_name": "SYED",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2017-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "34388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64014152",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000519677",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7066070",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, KY

Sources for this page

Verify at the official NPI Registry.