Individual provider Active NPI

Osman Qureshi, M.D.

  • Psychiatry Physician
  • Manchester, CT
National Provider Identifier
1942408265
Registry record updated Jun 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
046935 Issued in CT
Practice address
71 Haynes St
Manchester Memorial Hospital
Manchester, CT 06040-4131
Phone
(860) 647-6827
Fax
(860) 533-3452
NPI assigned
Jul 8, 2007
Last updated
Jun 8, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 046935 CT Primary
Child & Adolescent Psychiatry Physician 2084P0804X 7779 CT

Addresses

Primary practice location

71 Haynes St
Manchester Memorial Hospital
Manchester, CT 06040-4131

Mailing address

71 Haynes St
Manchester Memorial Hospital
Manchester, CT 06040-4131
Phone (860) 647-6827

Other identifiers 1

IdentifierTypeStateIssuer
004025177MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, SC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20081118000446 CT Practitioner - Psychiatry 4082774286 Reassigns benefits to 6 organizations
I20221126000086 SC Practitioner - Psychiatry 4082774286 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prospect Manchester Hospital IncGroup PAC ID 9234423625, 21 clinicians
Sunrise Psychological Services LLCGroup PAC ID 7911130216, 10 clinicians

Practice addresses (Care Compare)

71 Haynes St
Manchester, CT 06040-4131
Phone (860) 646-1222

80 Fern Dr
Torrington, CT 06790-3807
Phone (718) 298-4375

Merit-based Incentive Payment System (MIPS)

Final score
86.48 of 100Reported as group
Quality
72.39
Improvement activities
40
Cost
72.21

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
046935CTMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Step Up Care PC LLC CurrentSince Dec 16, 2024 Accepting new patients
Prospect Manchester Hospital, Inc. Current Accepting new patients
Liberty Integrated Behavioral Health, LLC CurrentSince Feb 15, 2025 Accepting new patients
Supportive Care of South Carolina LLC CurrentSince Sep 1, 2022 Accepting new patients
Manchester Memorial Hospital Current Accepting new patients
Sunrise Psychological Services LLC CurrentSince Jul 28, 2019 Accepting new patients
Natchaug Hospital, Inc. Past Accepting new patients
Eastern Connecticut Medical Professionals Foundation, Inc Past Accepting new patients
Eastern Connecticut Medical Professionals Foundation Inc Past Accepting new patients

Locations

111 Westcott Rd
Danielson, CT 06239
Phone (860) 774-9540

320 Main St
Manchester, CT 06040

71 Haynes St
Manchester, CT 06040
Phone (860) 533-2981

18 Hart St
New Britain, CT 06052
Phone (860) 357-4112

55 Grand St
New Britain, CT 06052
Phone (845) 459-5767

80 Fern Dr
Torrington, CT 06790
Phone (203) 294-7300

31 Union St
Vernon Rockvl, CT 06066
Phone (860) 289-6451

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

Organizations & group practices 11

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": "1183852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433721600000",
    "number": "1942408265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 HAYNES ST",
            "address_2": "MANCHESTER MEMORIAL HOSPITAL",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060404131",
            "telephone_number": "860-647-6827",
            "fax_number": "860-533-3452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 HAYNES ST",
            "address_2": "MANCHESTER MEMORIAL HOSPITAL",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060404131",
            "telephone_number": "860-647-6827",
            "fax_number": "860-533-3452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QURESHI",
        "first_name": "OSMAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-08",
        "last_updated": "2015-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "046935",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CT",
            "license": "7779",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004025177",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, CT

Sources for this page

Verify at the official NPI Registry.