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DR. MUHAMMAD MUSTANSAR QURESHI MD
NPI 1427042985
Internal Medicine - Nephrology in Decatur, IL

Active since September 09, 2005PECOS EnrolledAccepts Medicare Assignment
67.18/100
CMS Quality Rating
441 W HAY ST, 2ND FLOOR, DECATUR, IL 62526(217) 876-6860(217) 876-6868 Get Directions Write a Review

NPPES record last updated: September 4, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Muhammad Mustansar Qureshi Md NPPES

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

DR. MUHAMMAD MUSTANSAR QURESHI MD (NPI 1427042985) is an individual nephrology provider in Decatur, Illinois, licensed in Indiana (01056955A) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Decatur Memorial Hospital, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1427042985
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. MUHAMMAD MUSTANSAR QURESHICredential: MD
Location Address441 W HAY ST, 2ND FLOORDecatur, IL 62526-6324
Mailing Address2300 N Edward St, GsbllDecatur, IL 62526-4163 · (217) 876-2857 · Fax (217) 876-2874
Phone(217) 876-6860
Fax(217) 876-6868
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateSeptember 9, 2005
Last NPPES UpdateSeptember 4, 2014
✔ NPI 1427042985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in IN · 01056955A
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
441 W HAY ST, Decatur, IL 62526
Open in Google Maps ↗

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. Muhammad Mustansar Qureshi Md 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 ID5597775395
PECOS Enrollment IDI20060424000534
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 10

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.
505 services162 patients
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.
456 services270 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.
133 services118 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
90 services18 patients
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.
85 services56 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
62 services34 patients

Hospital Affiliations CMS Care Compare 5

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

Decatur Memorial Hospital

Acute Care Hospitals · Decatur, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140135
Location2300 North Edward StreetDecatur, IL 62526 · Macon County
Emergency services Birthing friendly

St Marys Hospital

Acute Care Hospitals · Decatur, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140166
Location1800 E Lake Shore DrDecatur, IL 62521 · Macon County
Emergency services Birthing friendly

Warner Hospital And Health Services

Critical Access Hospitals · Clinton, IL
OwnershipGovernment - Local
CMS Certification Number141303
Location422 W White StClinton, IL 61727 · De Witt County
Emergency services

Pana Community Hospital

Critical Access Hospitals · Pana, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141341
Location101 E Ninth StreetPana, IL 62557 · Christian County
Emergency services

Hshs Good Shepherd Hospital Inc

Critical Access Hospitals · Shelbyville, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141354
Location200 S Cedar StShelbyville, IL 62565 · Shelby County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62526 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

67.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.86
Improvement Activities40
Cost56.87

Other Providers at the Same Location NPPES 5

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

DR. MOHAMMED DAWOOD M.D.
Internal Medicine (Nephrology)
441 W HAY ST, 2ND FLOOR
DECATUR, IL 62526
Macon County (217) 876-6860
DONALD PAUL KAMM MD
Surgery
441 W HAY ST
DECATUR, IL 62526
Macon County (217) 424-2374
CASSIE MITCHELL LSW
Social Worker (Clinical)
441 W HAY ST
DECATUR, IL 62526
Macon County (508) 979-5557
CAITLYN BERG DO
Pediatrics
441 W HAY ST
DECATUR, IL 62526
Macon County (217) 545-8000
DR. ROXANNE BAUTISTA-SZORC MD
Family Medicine
441 W HAY ST
DECATUR, IL 62526
Macon County (217) 876-4810

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 Muhammad Qureshi's NPI number?

The NPI number for Muhammad Qureshi is 1427042985. It was assigned to this individual provider in the NPPES registry on September 9, 2005.

Where is Muhammad Qureshi located?

Muhammad Qureshi practices at 441 W Hay St 2nd Floor, Decatur, IL 62526. The listed phone number is (217) 876-6860.

What is Muhammad Qureshi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Muhammad Qureshi enrolled in Medicare?

Yes. Muhammad 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.

Is Muhammad Qureshi affiliated with any hospitals?

According to CMS data, Muhammad Qureshi is affiliated with Decatur Memorial Hospital, St Marys Hospital, Warner Hospital And Health Services, Pana Community Hospital and Hshs Good Shepherd Hospital Inc.

When was this NPI record last updated?

The NPPES record for Muhammad Qureshi was last updated on September 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.