Syed Mohammed Quadri, D.O.

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

02004065A Issued in IN

Practice address

10176 W 400 N
Suite B
Michigan City, IN 46360-9009

Phone

(219) 809-9839

Fax

(219) 809-9841

NPI assigned

May 1, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in IL, IN2 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

Specialty

Pain ManagementAlso: Anesthesiology

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Axess Clinic and Diagnostics LLCGroup PAC ID 0941615512, 2 clinicians

Illinois Center for Pain Control LLCGroup PAC ID 4688999550, 5 clinicians

Chesterton Physical Therapy IncGroup PAC ID 3173683984, 191 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Franciscan Health Michigan City Hospital, Michigan City, IN, CCN 150015
• Franciscan Health Crown Point Hospital, Crown Point, IN, CCN 150126

Merit-based Incentive Payment System (MIPS)

Final score

23.36 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

77.87

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: squadri98616@direct.franciscanalliance.org

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.

• Axess Clinic and Diagnostics LLC

  • Pain Medicine (Anesthesiology) Physician
  • Michigan City, IN
  • NPI 1588250534

  IL

  Medicare reassignment Care Compare group NPD Authorized official
• Illinois Center for Pain Control LLC

  • Pain Medicine (Anesthesiology) Physician
  • Michigan City, IN
  • NPI 1437556941

  IL

  Medicare reassignment Care Compare group NPD Authorized official
• The Board of Trustees of the University of Illinois

  • Anatomic Pathology Physician
  • Chicago, IL
  • NPI 1386863819
  Medicare reassignment NPD
• Axess Clinic and Diagnostics LLC

  • Pain Medicine (Anesthesiology) Physician
  • Chicago, IL
  • NPI 1659130359
  NPD Authorized official
• Chesterton Physical Therapy, Inc.

  • Physical Therapist
  • Chesterton, IN
  • NPI 1467608687
  Care Compare group
• Board of Trustees of the University of Illinois

  • Anesthesiology Physician
  • Chicago, IL
  • NPI 1013136282
  NPD
• Omni Health.P.C

  • Pediatrics Physician
  • Chicago, IL
  • NPI 1255487641
  NPD
• The Board of Trustees of the University of Illinois

  • Occupational Medicine Physician
  • Chicago, IL
  • NPI 1043727571
  NPD
• La Porte County Anesthesia Associates LLC

  • Anesthesiology Physician
  • Michigan City, IN
  • NPI 1477553634
  NPD (past)

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

• Franciscan Health Crown Point

  • General Acute Care Hospital
  • Crown Point, IN
  • NPI 1336205798
  Care Compare affiliation
• Franciscan Health Michigan City

  • General Acute Care Hospital
  • La Porte, IN
  • NPI 1679336747
  Care Compare affiliation
• Franciscan Health Michigan City

  • General Acute Care Hospital
  • Michigan City, IN
  • NPI 1710051941
  Care Compare affiliation

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478736000000",
    "number": "1992926307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10176 W 400 N",
            "address_2": "STE B",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463609009",
            "telephone_number": "219-809-9839",
            "fax_number": "219-809-9841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10176 W 400 N",
            "address_2": "SUITE B",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463609009",
            "telephone_number": "219-809-9839",
            "fax_number": "219-809-9841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUADRI",
        "first_name": "SYED",
        "middle_name": "MOHAMMED",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2016-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036125924",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "IL",
            "license": "036125924",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "IN",
            "license": "02004065A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Preferred One Ambulance
• Tanja Pritchard, PT
• Matthew J Provenzano, M.D.
• Kristin Pruitt
• Jessica L Pytynia, LMT
• Hasan M Qutob, MD
• R I Fischer LLC
• Mary Donohue Rachford, P.T.
• Matthew John Rachwalski, D.O.
• Raheem Medical Clinic P C

• Pain Medicine (Anesthesiology) Physician in Michigan City, IN
• Providers in Michigan City, IN by specialty
• Pain Medicine (Anesthesiology) Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2016; 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.