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DR. MOHAMMAD IBRAHIM QADIR DO
NPI 1265098495
Internal Medicine in Denton, TX

Active since May 13, 2019PECOS EnrolledAccepts Medicare Assignment
75.27/100
CMS Quality Rating

NPPES record last updated: July 13, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 13, 2022, Oct 31, 2019, May 13, 2019 (3 updates tracked since 2019).

About Dr. Mohammad Ibrahim Qadir Do NPPES

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

DR. MOHAMMAD IBRAHIM QADIR DO (NPI 1265098495) is an individual internal medicine provider in Denton, Texas, licensed in Texas (T4253) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS, is affiliated with Texas Health Presbyterian Hospital Denton, and is a graduate of West Virginia School Of Osteopathic Medicine (2019).

NPPES Registry Identity

NPI1265098495
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. MOHAMMAD IBRAHIM QADIRCredential: DO
Location Address3000 N I 35Denton, TX 76201-5119
Mailing Address3000 N I 35Denton, TX 76201-5119 · (940) 898-7000
Phone(940) 898-7000
Sole ProprietorYes
Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 2019
Enumeration DateMay 13, 2019
Last NPPES UpdateJuly 13, 20223 updates tracked since enumeration
NPPES CertifiedJune 14, 2022
✔ NPI 1265098495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · T4253
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3000 N I 35, Denton, TX 76201
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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

Dr. Mohammad Ibrahim Qadir Do 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 ID8628460953
PECOS Enrollment IDI20220621001884
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 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
284 services141 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
213 services102 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
168 services166 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
114 services112 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
55 services53 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
14 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Texas Health Presbyterian Hospital Denton

Acute Care Hospitals · Denton, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450743
Location3000 N I-35Denton, TX 76201 · Denton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.07
Promoting Interoperability100
Improvement Activities40
Cost49.5

Other Providers at the Same Location NPPES 18

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

DALLAS HEART AND RHYTHM INSTITUTE, PLLC
Internal Medicine (Cardiovascular Disease)
3000 N I 35
DENTON, TX 76201
Denton County (203) 892-5140
ANGELA LINDSEY
Registered Nurse (Medical-Surgical)
3000 N I 35
DENTON, TX 76201
Denton County (940) 898-7000
DR. AIMEL AZIZI MD
Hospitalist
3000 N I 35
DENTON, TX 76201
Denton County (940) 898-7000
ANGELINA NGUYEN
Anesthesiologist Assistant
3000 N I 35
DENTON, TX 76201
Denton County (940) 898-7000
PINTU AMRATLAL MD
Emergency Medicine
3000 N I 35
DENTON, TX 76201
Denton County (940) 898-7000
TIMOTHY LAIRD HARRIS M.D.
Internal Medicine
3000 N I 35
DENTON, TX 76201
Denton County (940) 898-7310
LEE ANN STEWART FNP
Nurse Practitioner (Primary Care)
3000 N I 35
DENTON, TX 76201
Denton County (940) 898-7000
BRITTON BURKE STAHELI MD, MBA
Anesthesiology
3000 N I 35
DENTON, TX 76201
Denton County (940) 898-7000

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 Mohammad Qadir's NPI number?

The NPI number for Mohammad Qadir is 1265098495. It was assigned to this individual provider in the NPPES registry on May 13, 2019.

Where is Mohammad Qadir located?

Mohammad Qadir practices at 3000 N I 35, Denton, TX 76201. The listed phone number is (940) 898-7000.

What is Mohammad Qadir's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Mohammad Qadir enrolled in Medicare?

Yes. Mohammad Qadir 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 Mohammad Qadir accept?

Health plans from Blue Cross and Blue Shield of Texas list Mohammad Qadir 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.

Is Mohammad Qadir affiliated with any hospitals?

According to CMS data, Mohammad Qadir is affiliated with Texas Health Presbyterian Hospital Denton.

When was this NPI record last updated?

The NPPES record for Mohammad Qadir was last updated on July 13, 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.