NPIMap

Individual provider Active NPI

Mohammad Imran Qureshi, MD

  • Cardiovascular Disease Physician
  • Beverly Hills, MI
National Provider Identifier
1982684254
Registry record updated Nov 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
4301063802 Issued in MI
Practice address
32804 Pierce St
Beverly Hills, MI 48025-3215
Phone
(248) 864-8585
Fax
(248) 864-8833
NPI assigned
Jan 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 4301063802 MI Primary

Addresses

Primary practice location

32804 Pierce St
Beverly Hills, MI 48025-3215

Mailing address

17177 N Laurel Park Dr Ste 439
Livonia, MI 48152-3938
Phone (734) 462-0340

Other identifiers 1

IdentifierTypeStateIssuer
4284734-10MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mqureshi29462@direct.beaumont.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20061205000647 MI Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Nuclear Medicine 6507865359 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine, Nuclear Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cardioq Heart and Vascular Specialists of MiGroup PAC ID 1557680287, 2 clinicians

Practice addresses (Care Compare)

32804 Pierce St
Beverly Hills, MI 48025-3215
Phone (248) 864-8585

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
99.09
Promoting interoperability
100
Improvement activities
40
Cost
88.26

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting21
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301063802MIMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cardioq Heart and Vascular Specialists of Mi Cardiovascular Disease CurrentSince Mar 1, 2015 Accepting new patients
Lathrup Primary Care PC Current Accepting new patients
Cardiovascular Associates PC Cardiovascular Disease CurrentSince Nov 7, 2009 Accepting new patients

Locations

32804 Pierce St
Beverly Hills, MI 48025
Phone (248) 540-9866

26631 Southfield Rd
Lathrup Village, MI 48076
Phone (248) 552-8195

17177 N Laurel Park Dr
Ste 439
Livonia, MI 48152

27177 Lahser Rd
Ste 103
Southfield, MI 48034
Phone (248) 357-1360

Interoperability endpoints

  • Direct secure messaging: mqureshi@direct.dmc.org
  • Direct secure messaging: mqureshi1145284@direct.hfhs.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606694400000",
    "number": "1982684254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17177 N LAUREL PARK DR STE 439",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481523938",
            "telephone_number": "734-462-0340",
            "fax_number": "734-462-0344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32804 PIERCE ST",
            "city": "BEVERLY HILLS",
            "state": "MI",
            "postal_code": "480253215",
            "telephone_number": "248-864-8585",
            "fax_number": "248-864-8833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QURESHI",
        "first_name": "MOHAMMAD",
        "middle_name": "IMRAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301063802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4284734-10",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mqureshi29462@direct.beaumont.edu",
            "affiliation": "N",
            "address_1": "32804 Pierce St",
            "city": "Beverly Hills",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480253215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Beverly Hills, MI

Sources for this page

Verify at the official NPI Registry.