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

Q: What is Abdul Qadir's NPI number?

The NPI number for Abdul Qadir is 1699898619. It was assigned to this individual provider in the NPPES registry on April 6, 2007.

Q: What is Abdul Qadir's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Abdul Qadir was last updated on November 3, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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.

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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

Phone(419) 627-8403

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

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Other Identifiers 1

Medicaid0136280OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual.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 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

Established patient office or other outpatient visit, 20-29 minutes 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.

96 services87 patients

Dialysis services, 2-3 physician visits per month (20 years or older) 90961

Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.

81 services45 patients

Home dialysis services per month (20 years or older) 90966

Home dialysis services provide kidney treatment for patients aged 20 or older right in their own homes. This service includes necessary equipment, supplies, and support for performing dialysis. It's a convenient option that allows patients to maintain their daily routines while receiving essential care.

65 services21 patients

Follow-up hospital inpatient care per day, typically 35 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.

58 services29 patients

New patient office or other outpatient visit, 45-59 minutes 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

51 services51 patients

Initial hospital inpatient care per day, typically 70 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.

35 services33 patients

Established patient office or other outpatient visit, 20-29 minutes 99213

33 services17 patients

Dialysis procedure including 1 evaluation 90945

Dialysis is a treatment that filters and purifies the blood when your kidneys can't do their job. The procedure involves circulating your blood through a machine that removes waste products. An evaluation is done beforehand to assess your health and determine the best approach for your treatment.

32 services13 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

Quality

76.83

Promoting Interoperability

100

Improvement Activities

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.

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.

DR. IH FOO LIN MD

Psychiatry & Neurology (Psychiatry)

1221 HAYES AVE, SUITE A
SANDUSKY, OH 44870

Erie County (419) 626-1618

MR. SIDHAIYAN AIYAPPASAMY MD

Internal Medicine (Pulmonary Disease)

1221 HAYES AVE, SUITE K
SANDUSKY, OH 44870

Erie County (419) 624-9000

ENT & ALLERGY HEALTH SERVICES, INC.

Specialist

1221 HAYES AVE, SUITE G
SANDUSKY, OH 44870

Erie County (419) 609-1800

DR. JOHN ANDREW HELMKAMP DDS

Dentist

1221 HAYES AVE, SUITE C
SANDUSKY, OH 44870

Erie County (419) 627-8131

DR. MARIANNE LUCILLE COBURN DDS

Dentist (Oral and Maxillofacial Surgery)

1221 HAYES AVE, SUITE C
SANDUSKY, OH 44870

Erie County (419) 627-8131

SUNIR CHANDA KUMAR MD

Internal Medicine

1221 HAYES AVE
SANDUSKY, OH 44870

Erie County (419) 621-7970

MUDITA BHATIA M.D

Internal Medicine

1221 HAYES AVE
SANDUSKY, OH 44870

Erie County (419) 621-7970

AHMAD FIRAS SABBAGH MD

Internal Medicine (Endocrinology, Diabetes & Metabolism)

1221 HAYES AVE, SUITE F
SANDUSKY, OH 44870

Erie County (419) 557-6990

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 Abdul Qadir's NPI number?

The NPI number for Abdul Qadir is 1699898619. It was assigned to this individual provider in the NPPES registry on April 6, 2007.

Where is Abdul Qadir located?

Abdul Qadir practices at 1221 Hayes Ave Suite F, Sandusky, OH 44870. The listed phone number is (419) 627-8403.

What is Abdul Qadir's specialty?

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

Is Abdul Qadir enrolled in Medicare?

Yes. Abdul 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 Abdul Qadir accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and MedMutual list Abdul 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 Abdul Qadir affiliated with any hospitals?

According to CMS data, Abdul Qadir is affiliated with Firelands Regional Medical Center, Fisher-Titus Hospital, Bellevue Hospital, Memorial Hospital and Magruder Hospital.

When was this NPI record last updated?

The NPPES record for Abdul Qadir was last updated on November 3, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.