Anila Qidwai, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

065787 Issued in GA

Practice address

1570 Old Alabama Rd
Suite#105
Roswell, GA 30076-2108

Phone

(770) 676-6838

Fax

(770) 676-6840

NPI assigned

Aug 8, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Fnu Anila Former name

Medicare fee-for-service enrollment

Enrolled in GA

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

Specialty

Family Practice

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wellstar North Fulton Medical Center Hospital, Roswell, GA, CCN 110198
• Northside Hospital Hospital, Atlanta, GA, CCN 110161
• Emory Johns Creek Hospital Hospital, Johns Creek, GA, CCN 110230

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AGBCDA/Endpoint/AGBCDA

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.

• Peachtree Primary Care PC

  • Family Medicine Physician
  • Roswell, GA
  • NPI 1437428331
  Medicare reassignment NPD Authorized official

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

• Ehca Johns Creek, LLC

  • General Acute Care Hospital
  • Johns Creek, GA
  • NPI 1679632137
  Care Compare affiliation
• Northside Hospital, Inc.

  • General Acute Care Hospital
  • Atlanta, GA
  • NPI 1457396079
  Care Compare affiliation
• Wellstar North Fulton Hospital, Inc

  • General Acute Care Hospital
  • Roswell, GA
  • NPI 1750312997
  Care Compare affiliation

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334102400000",
    "number": "1982614665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1570 OLD ALABAMA RD",
            "address_2": "SUITE #105",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300762108",
            "telephone_number": "770-676-6838",
            "fax_number": "770-676-6840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1570 OLD ALABAMA RD",
            "address_2": "SUITE#105",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300762108",
            "telephone_number": "770-676-6838",
            "fax_number": "770-676-6840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QIDWAI",
        "first_name": "ANILA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2012-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "065787",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ECFMG#",
            "identifier": "0-634-383-4",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA LISCENCE",
            "identifier": "065787",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FNU",
            "last_name": "ANILA",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kailey Cameron Pullen, OTR
• Anagha Vaibhav Punyarthi, OT
• Pure Nutrition LLC
• Flynn Ann Pustilnik, LPC, NCC
• Ellen Pye, PT, DPT
• Michael Ian Quackenbush, D.O.
• Thomas W Query, LPC
• James Quigg, LSW
• Meghan Quigley
• Kevin Quiles, M.DIV., M.A., LPC

• Family Medicine Physician in Roswell, GA
• Providers in Roswell, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.