ABDUL QADIR M.D.
NPI 1699898619
Internal Medicine - Nephrology in Sandusky, OH

Active since April 06, 2007PECOS EnrolledAccepts Medicare Assignment
87.25/100
CMS Quality Rating
1221 HAYES AVE, SUITE F, SANDUSKY, OH 44870(419) 627-8403(419) 627-1962 Get Directions Write a Review

NPPES record last updated: November 3, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Abdul Qadir M.d. NPPES

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

ABDUL QADIR M.D. (NPI 1699898619) is an individual nephrology provider in Sandusky, Ohio, licensed in Ohio (35089847) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Firelands Regional Medical Center, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1699898619
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameABDUL QADIRCredential: M.D.
Location Address1221 HAYES AVE, SUITE FSandusky, OH 44870-3345
Mailing Address1031 Pierce StSandusky, OH 44870-4669 · (419) 557-5541 · Fax (419) 557-5542
Fax(419) 627-1962
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateApril 6, 2007
Last NPPES UpdateNovember 3, 2017
NPI 1699898619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in OH · 35089847
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.

Also ListedInternal MedicineTaxonomy 207R00000X · License 231348 (MA)
Also ListedHospitalistTaxonomy 208M00000X · License MD436767 (PA)
1221 HAYES AVE, Sandusky, OH 44870

Other Identifiers 1

Medicaid0136280OH

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

Abdul Qadir M.d. 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 ID2567563182
PECOS Enrollment IDI20150710000149
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 14

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Follow-up hospital inpatient care per day, typically 25 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.
603 services180 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
532 services301 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.
432 services96 patients
Dialysis services, per day, less than full month service (20 years or older) 90970
Dialysis is a treatment that replicates some functions of healthy kidneys when they're not working properly. It helps to remove waste, salt, and excess water from your body and maintain a safe level of certain chemicals in your blood. This service, for patients aged 20 or older, is provided on a daily basis for less than a full month.
346 services24 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.
159 services57 patients
Initial hospital inpatient care per day, typically 50 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.
107 services95 patients

Hospital Affiliations CMS Care Compare 5

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

Firelands Regional Medical Center

Acute Care Hospitals · Sandusky, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360025
Location1111 Hayes AvenueSandusky, OH 44870 · Erie County
Emergency services Birthing friendly

Fisher-Titus Hospital

Acute Care Hospitals · Norwalk, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360065
Location272 Benedict AvenueNorwalk, OH 44857 · Huron County
Emergency services Birthing friendly

Bellevue Hospital

Acute Care Hospitals · Bellevue, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360107
Location1400 West Main StreetBellevue, OH 44811 · Sandusky County
Birthing friendly

Memorial Hospital

Acute Care Hospitals · Fremont, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360156
Location715 South Taft AvenueFremont, OH 43420 · Sandusky County
Birthing friendly

Magruder Hospital

Critical Access Hospitals · Port Clinton, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361314
Location615 Fulton StPort Clinton, OH 43452 · Ottawa County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44870 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

87.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.83
Promoting Interoperability100
Improvement Activities40

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.

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier18 claims1,800 services$0.33 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier13 claims2,340 services$0.18 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
1 supplier25 claims30 services$12.63 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

MIPS Quality Measures

The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.

Quality Measure Performance Number of Patients

Other Providers at the Same Location NPPES 19

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

Psychiatry & Neurology (Psychiatry)
1221 HAYES AVE, SUITE A
SANDUSKY, OH 44870
Internal Medicine (Pulmonary Disease)
1221 HAYES AVE, SUITE K
SANDUSKY, OH 44870
Specialist
1221 HAYES AVE, SUITE G
SANDUSKY, OH 44870
Dentist
1221 HAYES AVE, SUITE C
SANDUSKY, OH 44870
Dentist (Oral and Maxillofacial Surgery)
1221 HAYES AVE, SUITE C
SANDUSKY, OH 44870
Internal Medicine
1221 HAYES AVE
SANDUSKY, OH 44870
Internal Medicine
1221 HAYES AVE
SANDUSKY, OH 44870
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1221 HAYES AVE, SUITE F
SANDUSKY, OH 44870

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699898619, enumerated as an "individual" on April 06, 2007.

The provider is located at 1221 HAYES AVE SUITE F SANDUSKY, OH 44870 and the phone number is (419) 627-8403.

Internal Medicine with taxonomy code 207RN0300X and a focus in Nephrology.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, CareSource,. Please consult your insurance carrier or call the provider to verify.

Abdul Qadir is affiliated with: FIRELANDS REGIONAL MEDICAL CENTER, FISHER-TITUS HOSPITAL, BELLEVUE HOSPITAL, MEMORIAL HOSPITAL and MAGRUDER HOSPITAL.