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DR. HASSAN QADIR M.D
NPI 1720492606
Internal Medicine in Providence, RI

Active since June 18, 2014PECOS EnrolledAccepts Medicare Assignment
75.27/100
CMS Quality Rating
830 CHALKSTONE AVE, DEPARTMENT OF INTERNAL MEDICINE, PROVIDENCE, RI 02908(413) 447-2839 Get Directions Write a Review

NPPES record last updated: January 24, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jan 24, 2020, Oct 31, 2019 (2 updates tracked since 2019).

About Dr. Hassan Qadir M.d NPPES

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

DR. HASSAN QADIR M.D (NPI 1720492606) is an individual internal medicine provider in Providence, Rhode Island, licensed in Massachusetts (272648) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with Texas Health Presbyterian Hospital Plano, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1720492606
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. HASSAN QADIRCredential: M.D
Location Address830 CHALKSTONE AVE, DEPARTMENT OF INTERNAL MEDICINEProvidence, RI 02908
Mailing Address830 Chalkstone Ave, Department Of Internal MedicineProvidence, RI 02908
Phone(413) 447-2839
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJune 18, 2014
Last NPPES UpdateJanuary 24, 20202 updates tracked since enumeration
✔ NPI 1720492606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MA · 272648
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.
Also ListedHospitalistTaxonomy 208M00000X · License 272648 (MA)
830 CHALKSTONE AVE, Providence, RI 02908
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health of TX, Blue Cross and Blue Shield of Texas, Harbor Health.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

Dr. Hassan 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 ID2163649278
PECOS Enrollment IDI20220825002486
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 Reassignments

2

Medicare enrollment records show Hassan Qadir reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Texas Health Physicians Group
1,506 mi
Internal Medicine
874 ED HALL DR STE B108
Kaufman, TX 75142
  • Reassigned Medicare billing, Texas enrollment
  • 1,639 clinicians in this Medicare group
NPI 1992151740 (214) 860-6300
Texas Health Virtual Care
1,517 mi
Internal Medicine
8200 WALNUT HILL LN FL 4
Dallas, TX 75231
  • Reassigned Medicare billing, Texas enrollment
  • 284 clinicians in this Medicare group
NPI 1942951199 (214) 345-8001

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 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 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.
203 services92 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.
93 services88 patients
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.
73 services45 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
41 services22 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.
22 services22 patients

Hospital Affiliations CMS Care Compare

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

Texas Health Presbyterian Hospital Plano

Acute Care Hospitals · Plano, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450771
Location6200 W Parker RdPlano, TX 75093 · Collin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02908 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
$134.17 typical visit price
range $58.57 – $177.03
Typical copayment $33.54 (range $14.64 – $44.25)
Most-billed visit code 99204
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
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.

75.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.07
Promoting Interoperability100
Improvement Activities40
Cost49.5

Other Providers at the Same Location NPPES 20

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

ELIZABETH SEVIN
Social Worker (Clinical)
830 CHALKSTONE AVE
PROVIDENCE, RI 02908
Providence County (401) 723-7100
TONI MARIE ACAMPORA LICSW
Social Worker (Clinical)
830 CHALKSTONE AVE
PROVIDENCE, RI 02908
Providence County (401) 273-7100
ELIZABETH MOORE MEDBURY APRN
Nurse Practitioner (Acute Care)
830 CHALKSTONE AVE
PROVIDENCE, RI 02908
Providence County (401) 273-7011
LILY ANN CURRERI RDN
Dietitian, Registered
830 CHALKSTONE AVE
PROVIDENCE, RI 02908
Providence County (401) 273-7100
MS. HELEN MARY SULLIVAN R.N.
Registered Nurse
830 CHALKSTONE AVE
PROVIDENCE, RI 02908
Providence County (401) 273-7100
MS. RENEE COLETTE WATSON LICSW
Social Worker (Clinical)
830 CHALKSTONE AVE
PROVIDENCE, RI 02908
Providence County (401) 273-7100
DOUGLAS L TOWNSEND RN
Registered Nurse (Psychiatric/Mental Health)
830 CHALKSTONE AVE
PROVIDENCE, RI 02908
Providence County (401) 273-7100
MR. THOMAS H. WHEELER MMSC, PT
Physical Therapist
830 CHALKSTONE AVE
PROVIDENCE, RI 02908
Providence County (401) 273-7100

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 Hassan Qadir's NPI number?

The NPI number for Hassan Qadir is 1720492606. It was assigned to this individual provider in the NPPES registry on June 18, 2014.

Where is Hassan Qadir located?

Hassan Qadir practices at 830 Chalkstone Ave Department Of Internal Medicine, Providence, RI 02908. The listed phone number is (413) 447-2839.

What is Hassan Qadir's specialty?

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

Is Hassan Qadir enrolled in Medicare?

Yes. Hassan 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.

Which organizations bill Medicare for Hassan Qadir's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hassan Qadir reassigns Medicare benefits to 2 organizations: Texas Health Physicians Group (Kaufman, TX) and Texas Health Virtual Care (Dallas, TX). Each 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 Hassan Qadir's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Hassan Qadir accept?

Health plans from Antidote Health of TX, Blue Cross and Blue Shield of Texas and Harbor Health list Hassan 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 Hassan Qadir affiliated with any hospitals?

According to CMS data, Hassan Qadir is affiliated with Texas Health Presbyterian Hospital Plano.

When was this NPI record last updated?

The NPPES record for Hassan Qadir was last updated on January 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.