EBENEZER KHURAM QURESHI PA-C
NPI 1013947381
Physician Assistant - Medical in Goodyear, AZ

Active since July 03, 2006PECOS EnrolledAccepts Medicare Assignment
1507 N LITCHFIELD RD STE 200, GOODYEAR, AZ 85395(623) 215-0040(623) 935-9602 Get Directions Write a Review

NPPES record last updated: July 1, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 19, 2021, Feb 27, 2021, Mar 17, 2018 and 2 more (5 updates tracked since 2017).

About Ebenezer Khuram Qureshi Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EBENEZER KHURAM QURESHI PA-C (NPI 1013947381) is an individual medical provider in Goodyear, Arizona, licensed in Arizona (3253) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1013947381
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameEBENEZER KHURAM QURESHICredential: PA-C
Location Address1507 N LITCHFIELD RD STE 200Goodyear, AZ 85395-1201
Mailing Address1507 N Litchfield Rd Ste 200Goodyear, AZ 85395-1201 · (623) 215-0040 · Fax (623) 935-9602
Fax(623) 935-9602
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateJuly 3, 2006
Last NPPES UpdateJuly 1, 20225 updates tracked since enumeration
NPPES CertifiedJuly 1, 2022
NPI 1013947381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in AZ · 3253
Also ListedPhysician AssistantTaxonomy 363A00000X · License 58215 (CA)
1507 N LITCHFIELD RD STE 200, Goodyear, AZ 85395

Secondary Practice Locations 2

Location 121753 N 77th AvePeoria, AZ 85382-2110 · Phone (623) 935-9600 · Fax (623) 935-9602
Location 215351 W Bell RdSurprise, AZ 85374-4580 · Phone (877) 809-5092

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ebenezer Khuram Qureshi Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6406861525
PECOS Enrollment IDI20060210000423
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
129 services124 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
79 services78 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
60 services60 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
48 services47 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
37 services37 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
30 services15 patients

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Occupational Health)
1507 N LITCHFIELD RD STE 200
GOODYEAR, AZ 85395
Clinic/Center (Occupational Medicine)
1507 N LITCHFIELD RD STE 200
GOODYEAR, AZ 85395
Clinic/Center (Urgent Care)
1507 N LITCHFIELD RD STE 200
GOODYEAR, AZ 85395
Clinic/Center (Occupational Medicine)
1507 N LITCHFIELD RD STE 200
GOODYEAR, AZ 85395

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ebenezer Qureshi's NPI number?

The NPI number for Ebenezer Qureshi is 1013947381. It was assigned to this individual provider in the NPPES registry on July 3, 2006.

Where is Ebenezer Qureshi located?

Ebenezer Qureshi practices at 1507 N Litchfield Rd Ste 200, Goodyear, AZ 85395. The listed phone number is (623) 215-0040.

What is Ebenezer Qureshi's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Ebenezer Qureshi enrolled in Medicare?

Yes. Ebenezer Qureshi is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Ebenezer Qureshi accept?

Health plans from Imperial Insurance Companies, Inc. and Oscar Health Plan, Inc. list Ebenezer Qureshi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ebenezer Qureshi was last updated on July 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.