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SHADI A. QASQAS MD, INC.
NPI 1891929287
Internal Medicine - Cardiovascular Disease in Upland, CA

Active since May 13, 2009
1646 N PALM AVE, UPLAND, CA 91784(909) 489-0727 Get Directions Write a Review

NPPES record last updated: May 13, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Shadi A. Qasqas Md, Inc. NPPES

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

SHADI A. QASQAS MD, INC. (NPI 1891929287) is a healthcare organization registered as a cardiovascular disease in Upland, California and active in the NPI registry since May 2009. The organization lists Shadi A Qasqas, M.d., as its authorized official.

NPPES Registry Identity

NPI1891929287
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameSHADI A. QASQAS MD, INC.
Location Address1646 N PALM AVEUpland, CA 91784-1922
Mailing Address1646 N Palm AveUpland, CA 91784-1922 · (909) 489-0727
Phone(909) 489-0727
Organization SubpartNo
Authorized OfficialShadi A QasqasM.d. · (909) 489-0727
Enumeration DateMay 13, 2009
✔ NPI 1891929287 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in CA · A102826
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
1646 N PALM AVE, Upland, CA 91784
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shadi A. Qasqas Md, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20090914000188Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Shadi A. Qasqas MD, Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Shadi Qasqas, M.D.
Cardiovascular Disease (Cardiology)
NPI 1740498328
12223 HIGHLAND AVE STE 106-551
Rancho Cucamonga, CA 91739
(877) 363-9590
✔ PECOS✔ Accepts Medicare6.7 mi

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

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 Shadi A. Qasqas MD, Inc.'s NPI number?

The NPI number for Shadi A. Qasqas MD, Inc. is 1891929287. It was assigned to this organization in the NPPES registry on May 13, 2009.

Where is Shadi A. Qasqas MD, Inc. located?

Shadi A. Qasqas MD, Inc. is located at 1646 N Palm Ave, Upland, CA 91784. The listed phone number is (909) 489-0727.

What is Shadi A. Qasqas MD, Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Shadi A. Qasqas MD, Inc. enrolled in Medicare?

Yes. Shadi A. Qasqas MD, Inc. is registered in the Medicare PECOS enrollment system.

When is Shadi A. Qasqas MD, Inc.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Shadi A. Qasqas MD, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Cardiovascular Disease (Cardiology)) reassigns their Medicare billing to Shadi A. Qasqas MD, Inc.. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Shadi A. Qasqas MD, Inc. was last updated on May 13, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.