Individual provider Active NPI

Mohammedmoiz Qureshi, M.D

  • Emergency Medicine Physician
  • New Bedford, MA
National Provider Identifier
1962933655
Registry record updated Oct 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
T2957 Issued in TX
Practice address
101 Page St
New Bedford, MA 02740-3464
Phone
(508) 997-1515
NPI assigned
Mar 23, 2017
Last updated
Oct 7, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X T2957 TX Primary
Emergency Medicine Physician 207P00000X 282177 MA
Emergency Medicine Physician 207P00000X 04-52603 KS
Emergency Medicine Physician 207P00000X 2020028414 MO
Phlebology Physician 202K00000X T2957 TX

Addresses

Primary practice location

101 Page St
New Bedford, MA 02740-3464

Mailing address

731 Kraffel LN
Chesterfield, MO 63017-8060
Phone (615) 617-9795

Other practice location 1

55 Lake Ave N
Worcester, MA 01655-0002
Phone (508) 334-8515

Other practice location 2

525 Branson Landing Blvd
Branson, MO 65616-2052
Phone (417) 335-7000

Other practice location 3

500 University Dr
Penn State Health Milton S. Hershey Medical Center
Hershey, PA 17033-2360
Phone (800) 243-1455

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mqureshi339163@UmassMemorial.direct-ci.com
FHIR URL https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, MO, TX, KS4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20200716002113 MA Practitioner - Internal MedicinePractitioner - Emergency Medicine 6103240254 Reassigns benefits to 6 organizations
I20210108000174 MO Practitioner - Emergency Medicine 6103240254 Reassigns benefits to 1 organization
I20210913002077 TX Practitioner - Emergency Medicine 6103240254 Reassigns benefits to 8 organizations
I20260320002205 KS Practitioner - Emergency Medicine 6103240254 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shannon ClinicGroup PAC ID 0840103727, 550 clinicians
Century Integrated Partners, IncGroup PAC ID 6406151703, 330 clinicians

Practice addresses (Care Compare)

120 E Harris Ave
San Angelo, TX 76903-5904
Phone (325) 747-6741

757 E State Hwy 80
Suite 150 Baylor Scott and White Forney
Forney, TX 75126
Phone (972) 412-3345

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-52603KSMDEmergency Medicine Physician
282177MAMDEmergency Medicine Physician
T2957TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ies Central Texas PLLC Emergency Medicine CurrentSince May 1, 2023 Accepting new patients
Nes Southwest Medical Services Inc Emergency Medicine CurrentSince Oct 18, 2021 Accepting new patients
Rio Valley Emergency Physician Associates PLLC Emergency Medicine CurrentSince Jan 13, 2024 Accepting new patients
Bid-Milton Physician Associates Inc CurrentSince Dec 1, 2020 Accepting new patients
Small Hospital Innovations LLC Emergency Medicine CurrentSince Nov 11, 2024 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc Emergency Medicine CurrentSince Jul 1, 2020 Accepting new patients
Century Integrated Partners, Inc Emergency Medicine CurrentSince Aug 1, 2022 Accepting new patients
Acs Primary Care Physicians Southwest, PA Emergency Medicine CurrentSince Jan 1, 2024 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc CurrentSince Dec 1, 2020 Accepting new patients
Bid-Milton Physician Associates Inc CurrentSince Dec 1, 2020 Accepting new patients
Umass Memorial Medical Group Inc Emergency Medicine CurrentSince Dec 13, 2020 Accepting new patients
Shannon Clinic Internal Medicine CurrentSince Sep 15, 2023 Accepting new patients
Steward Emergency Physicians, Inc Emergency Medicine CurrentSince Jul 1, 2020 Accepting new patients
Associated Physicians of Harvard Medical Faculty Physicians at Beth Is CurrentSince Jul 1, 2020 Accepting new patients
Capital Emergency Physicians, PC Emergency Medicine CurrentSince Dec 1, 2020 Accepting new patients
Associated Physicians of Harvard Medical Faculty Physicians at Beth Is CurrentSince Jul 1, 2020 Accepting new patients
Travis County Emergency Physicians PA Emergency Medicine CurrentSince Oct 1, 2023 Accepting new patients
Umass Memorial Medical Group, Inc. CurrentSince Dec 13, 2020 Accepting new patients
Complete Emergency Care Southlake LLC Past Accepting new patients

Locations (25 of 35)

200 Groton Rd
Ayer, MA 01432
Phone (978) 784-9000

1 Deaconess Rd
Boston, MA 02215
Phone (617) 754-2323

330 Brookline Ave
Boston, MA 02215
Phone (617) 667-2000

910 Washington St
Dedham, MA 02026
Phone (781) 431-1333

1 General St
Lawrence, MA 01841
Phone (978) 946-8103

70 East St
Methuen, MA 01844
Phone (978) 682-1906

100 Highland St
Milton, MA 02186
Phone (617) 615-4000

199 Reedsdale Rd
Milton, MA 02186
Phone (617) 313-1000

101 Page St
New Bedford, MA 02740
Phone (508) 961-5425

100 Walter J Hannon Pkwy
Ste 143
Quincy, MA 02169
Phone (617) 615-4000

100 South St
Southbridge, MA 01550
Phone (508) 764-8012

88 Washington St
Taunton, MA 02780
Phone (508) 828-7000

55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862

2000 S Palestine St
Athens, TX 75751
Phone (903) 675-2216

7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305

409 Cottage Rd
Carthage, TX 75633
Phone (903) 693-3841

3500 Gaston Ave
Dallas, TX 75246

1102 W Trenton Rd
Edinburg, TX 78539
Phone (956) 388-6500

7 Medical Pkwy
Farmers Brnch, TX 75234
Phone (972) 247-1000

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

5501 S Expressway 77
Harlingen, TX 78550
Phone (936) 569-9481

101 Circle Dr
Hillsboro, TX 76645
Phone (254) 580-8500

2615 Southwest Fwy
Ste 140
Houston, TX 77098
Phone (713) 441-2779

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

2600 W Pleasant Run Rd
Lancaster, TX 75146
Phone (469) 297-5321

Interoperability endpoints

  • Direct secure messaging: mqureshi52640@direct.southcoast.org

Organizations & group practices 20

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 20

Hospital & facility affiliations 7

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": "1490227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791331200000",
    "number": "1962933655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 KRAFFEL LN",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630178060",
            "telephone_number": "615-617-9795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 PAGE ST",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027403464",
            "telephone_number": "508-997-1515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Lake Ave N",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016550002",
            "country_code": "US",
            "telephone_number": "508-334-8515",
            "fax_number": "508-334-6490",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "525 Branson Landing Blvd",
            "address_purpose": "LOCATION",
            "city": "Branson",
            "state": "MO",
            "postal_code": "656162052",
            "country_code": "US",
            "telephone_number": "417-335-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 University Dr",
            "address_2": "Penn State Health Milton S. Hershey Medical Center",
            "address_purpose": "LOCATION",
            "city": "Hershey",
            "state": "PA",
            "postal_code": "170332360",
            "country_code": "US",
            "telephone_number": "800-243-1455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QURESHI",
        "first_name": "MOHAMMEDMOIZ",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-23",
        "last_updated": "2026-10-07",
        "certification_date": "2026-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "T2957",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MA",
            "license": "282177",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KS",
            "license": "04-52603",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "2020028414",
            "primary": false
        },
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "TX",
            "license": "T2957",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mqureshi339163@UmassMemorial.direct-ci.com",
            "affiliation": "N",
            "address_1": "55 Lake Ave N",
            "city": "Worcester",
            "state": "MA",
            "country_code": "US",
            "postal_code": "016550002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "55 Lake Ave N",
            "city": "Worcester",
            "state": "MA",
            "country_code": "US",
            "postal_code": "016550002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New Bedford, MA

Sources for this page

Verify at the official NPI Registry.