Individual provider Active NPI

Shabana Qureshi, MD

  • Family Medicine Physician
  • Woodbridge, VA
National Provider Identifier
1982885760
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101243323 Issued in VA
Practice address
5441 Mapledale PLZ
Woodbridge, VA 22193-4526
Phone
(571) 659-9387
NPI assigned
Nov 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101243323 VA Primary

Addresses

Primary practice location

5441 Mapledale PLZ
Woodbridge, VA 22193-4526

Mailing address

5441 Mapledale PLZ
Woodbridge, VA 22193-4526
Phone (571) 659-9387

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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

Enrollment IDStateProvider typePAC IDDetails
I20080822000642 VA Practitioner - Family Practice 4486729696 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Easy Care Urgent CareGroup PAC ID 6406094036, 2 clinicians

Practice addresses (Care Compare)

5441 Mapledale PLZ
Woodbridge, VA 22193-4526
Phone (571) 659-9387

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Easy Care Urgent Care Family Medicine CurrentSince Apr 26, 2013 Accepting new patients
Primary and Urgent Care LLC PastSince Jan 28, 2004 Accepting new patients

Locations

5808 Mapledale Plz
Woodbridge, VA 22193
Phone (484) 788-5309

5441 Mapledale Plz
Woodbridge, VA 22193
Phone (571) 659-9387

Organizations & group practices 2

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 1

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": "1195516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1982885760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5441 MAPLEDALE PLZ",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221934526",
            "telephone_number": "571-659-9387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5441 MAPLEDALE PLZ",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221934526",
            "telephone_number": "571-659-9387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QURESHI",
        "first_name": "SHABANA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-20",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101243323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

Verify at the official NPI Registry.