SOFIA H QURESHI M.D.
NPI 1902197544
Family Medicine in San Ysidro, CA

Active since May 01, 2011PECOS EnrolledAccepts Medicare Assignment
90.38/100
CMS Quality Rating
4004 BEYER BLVD, SAN YSIDRO, CA 92173(619) 662-4100 Get Directions Write a Review

NPPES record last updated: February 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 11, 2024, Jul 12, 2021, Sep 13, 2018 and 2 more (5 updates tracked since 2015).

About Sofia H Qureshi M.d. NPPES

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

SOFIA H QURESHI M.D. (NPI 1902197544) is an individual family medicine provider in San Ysidro, California, licensed in California (188057) and active in the NPI registry since May 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1902197544
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSOFIA H QURESHICredential: M.D.
Location Address4004 BEYER BLVDSan Ysidro, CA 92173-2007
Mailing Address4004 Beyer BlvdSan Ysidro, CA 92173-2007 · (619) 662-4100 · Fax (859) 331-2021
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateMay 1, 2011
Last NPPES UpdateFebruary 11, 20245 updates tracked since enumeration
NPPES CertifiedFebruary 11, 2024
NPI 1902197544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in CA · 188057 Licensed in KY · 46286 Licensed in KY · TP037
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.
4004 BEYER BLVD, San Ysidro, CA 92173

Other Names 1

Other Name (5)Sofia Qureshi

Other Identifiers 2

Medicaid0085346OH
Medicaid7100252500KY

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

Sofia H Qureshi 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 ID2264671601
PECOS Enrollment IDI20130617000234, I20240514000943
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92173 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

90.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.76
Promoting Interoperability100
Improvement Activities40

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.

Clinic/Center (Rural Health)
4004 BEYER BLVD
SAN YSIDRO, CA 92173
Registered Nurse (Infection Control)
4004 BEYER BLVD
SAN YSIDRO, CA 92173
Marriage & Family Therapist
4004 BEYER BLVD
SAN YSIDRO, CA 92173
Physician Assistant (Medical)
4004 BEYER BLVD
SAN YSIDRO, CA 92173
Internal Medicine
4004 BEYER BLVD
SAN YSIDRO, CA 92173
Internal Medicine
4004 BEYER BLVD
SAN YSIDRO, CA 92173
Psychiatry & Neurology (Child & Adolescent Psychiatry)
4004 BEYER BLVD
SAN YSIDRO, CA 92173
Physician Assistant
4004 BEYER BLVD
SAN YSIDRO, CA 92173

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 Sofia Qureshi's NPI number?

The NPI number for Sofia Qureshi is 1902197544. It was assigned to this individual provider in the NPPES registry on May 1, 2011.

Where is Sofia Qureshi located?

Sofia Qureshi practices at 4004 Beyer Blvd, San Ysidro, CA 92173. The listed phone number is (619) 662-4100.

What is Sofia Qureshi's specialty?

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

Is Sofia Qureshi enrolled in Medicare?

Yes. Sofia 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.

What insurance does Sofia Qureshi accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Sofia 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.

When was this NPI record last updated?

The NPPES record for Sofia Qureshi was last updated on February 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.