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SOPHIA TARIQ QURESHI MD
NPI 1619530763
Family Medicine in Waterloo, IA

Active since April 15, 2019PECOS EnrolledAccepts Medicare Assignment
NE IA MEDICAL EDUCATION FOUNDATION, 2055 KIMBALL AVE. STE. 101, WATERLOO, IA 50702(319) 272-2112(319) 272-2107 Get Directions Write a Review

NPPES record last updated: April 15, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Sophia Tariq Qureshi Md NPPES

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

SOPHIA TARIQ QURESHI MD (NPI 1619530763) is an individual family medicine provider in Waterloo, Iowa, licensed in Iowa (R-11427) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, is affiliated with Allen Hospital, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1619530763
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSOPHIA TARIQ QURESHICredential: MD
Location AddressNE IA MEDICAL EDUCATION FOUNDATION, 2055 KIMBALL AVE. STE. 101Waterloo, IA 50702
Mailing AddressNe Ia Medical Education Foundation, 2055 Kimball Ave. Ste. 101Waterloo, IA 50702 · (319) 272-2112 · Fax (319) 272-2107
Phone(319) 272-2112
Fax(319) 272-2107
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateApril 15, 2019
✔ NPI 1619530763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IA · R-11427
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
NE IA MEDICAL EDUCATION FOUNDATION, Waterloo, IA 50702
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company, Wellmark Health Plan of Iowa, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sophia Tariq 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 ID4688902331
PECOS Enrollment IDI20211022001244
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.

Medicare Billing Reassignment

Medicare enrollment records show Sophia Qureshi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Iowa Physicians Clinic Medical Foundation
92 mi
General Practice
8101 BIRCHWOOD CT, SUITE N
Johnston, IA 50131
  • Reassigned Medicare billing, Iowa enrollment
  • 1,506 clinicians in this Medicare group
NPI 1891127502 (515) 471-9300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 9

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.
266 services133 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
106 services17 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
91 services91 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.
44 services37 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
35 services35 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
31 services31 patients

Hospital Affiliations CMS Care Compare

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

Allen Hospital

Acute Care Hospitals · Waterloo, IA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160110
Location1825 Logan AvenueWaterloo, IA 50703 · Black Hawk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50702 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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.

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 Sophia Qureshi's NPI number?

The NPI number for Sophia Qureshi is 1619530763. It was assigned to this individual provider in the NPPES registry on April 15, 2019.

Where is Sophia Qureshi located?

Sophia Qureshi practices at NE Ia Medical Education Foundation 2055 Kimball Ave. Ste. 101, Waterloo, IA 50702. The listed phone number is (319) 272-2112.

What is Sophia Qureshi's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Sophia Qureshi enrolled in Medicare?

Yes. Sophia 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.

Which organization bills Medicare for Sophia Qureshi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sophia Qureshi reassigns Medicare benefits to Iowa Physicians Clinic Medical Foundation (Johnston, IA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sophia Qureshi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sophia Qureshi accept?

Health plans from Oscar Insurance Company and Wellmark Health Plan of Iowa, Inc. list Sophia 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.

Is Sophia Qureshi affiliated with any hospitals?

According to CMS data, Sophia Qureshi is affiliated with Allen Hospital.

When was this NPI record last updated?

The NPPES record for Sophia Qureshi was last updated on April 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.