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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MUHAMMAD QADRI MD
NPI 1528068269
Internal Medicine in Fountain Hills, AZ

Active since July 22, 2005PECOS Enrolled
81.49/100
CMS Quality Rating
16716 E PALISADES BLVD STE 101A, FOUNTAIN HILLS, AZ 85268(480) 587-6900(480) 822-5837 Get Directions Write a Review

NPPES record last updated: August 5, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 5, 2026, Jun 22, 2018 (2 updates tracked since 2018).

About Muhammad Qadri Md NPPES

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

MUHAMMAD QADRI MD (NPI 1528068269) is an individual internal medicine provider in Fountain Hills, Arizona, licensed in Arizona (41203) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1990).

NPPES Registry Identity

NPI1528068269
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMUHAMMAD QADRICredential: MD
Location Address16716 E PALISADES BLVD STE 101AFountain Hills, AZ 85268-3846
Mailing Address2500 W Utopia Rd Ste 100Phoenix, AZ 85027-4172 · (623) 683-4462 · Fax (623) 683-4963
Phone(480) 587-6900
Fax(480) 822-5837
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateJuly 22, 2005
Last NPPES UpdateAugust 5, 20262 updates tracked since enumeration
NPPES CertifiedAugust 5, 2026
✔ NPI 1528068269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in AZ · 41203✔ Licensed in NY · 215400
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.
16716 E PALISADES BLVD STE 101A, Fountain Hills, AZ 85268
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Other Identifiers 2

Medicaid01982663NY
Medicaid622625AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc..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

Muhammad Qadri 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 ID5496714461
PECOS Enrollment IDI20110525000709
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 5

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 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.
413 services212 patients
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.
324 services166 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 services164 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.
83 services81 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
55 services55 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85268 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

81.49/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40
Cost38.3

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier22 claims22 services$14.18 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier20 claims20 services$4.48 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier22 claims22 services$64.62 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

HONORHEALTH MEDICAL GROUP, LLC
Family Medicine
16716 E PALISADES BLVD STE 101A
FOUNTAIN HILLS, AZ 85268
Maricopa County (480) 587-6900
ANNE BURRISS MSN, APRN, FNP-C
Nurse Practitioner (Family)
16716 E PALISADES BLVD STE 101A
FOUNTAIN HILLS, AZ 85268
Maricopa County (480) 587-6900
SANA DURRANI-SIMMONS
Family Medicine
16716 E PALISADES BLVD STE 101A
FOUNTAIN HILLS, AZ 85268
Maricopa County (480) 587-6900
HONORHEALTH AMBULATORY
Orthopaedic Surgery
16716 E PALISADES BLVD STE 101A
FOUNTAIN HILLS, AZ 85268
Maricopa County (623) 680-8000

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 Qadri's NPI number?

The NPI number for Muhammad Qadri is 1528068269. It was assigned to this individual provider in the NPPES registry on July 22, 2005.

Where is Muhammad Qadri located?

Muhammad Qadri practices at 16716 E Palisades Blvd Ste 101A, Fountain Hills, AZ 85268. The listed phone number is (480) 587-6900.

What is Muhammad Qadri's specialty?

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

Is Muhammad Qadri enrolled in Medicare?

Yes. Muhammad Qadri 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 Muhammad Qadri accept?

Health plans from Blue Cross Blue Shield of Arizona and Oscar Health Plan, Inc. list Muhammad Qadri 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 Muhammad Qadri was last updated on August 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.