EBENEZER KHURAM QURESHI (PA-C) – Medical Physician Assistant, NPI 1013947381
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,685 PHYSICIAN ASSISTANT in AZ
Provider Addresses for EBENEZER KHURAM QURESHI (PA-C)
West Camelback Road, Litchfield Park, Maricopa County, Arizona, 85392, United States
STE 204
LITCHFIELD PARK, AZ 853409426
Phone: (623) 935-9600
Fax: (623) 935-9602
Type: Mailing
21753 N 77th Ave
Peoria, AZ 853822110
Phone: (623) 935-9600
Fax: (623) 935-9602
Type: Location
15351 W Bell Rd
Surprise, AZ 853744580
Phone: (877) 809-5092
Type: Location
1507 N LITCHFIELD RD STE 200
GOODYEAR, AZ 853951201
Phone: (623) 215-0040
Fax: (623) 935-9602
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2006-02-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20060210000423 | I | Physician Assistant | AZ | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 89 | 88 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 42 | 42 | $0 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 30 | 15 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 13 | 13 | $0 |
| 81003 | Automated urinalysis test | 12 | 12 | $0 |
Insurance plans in this area (ZIP 85340)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | AZ | |
| Nurse Practitioner | AZ | |
| - | NH | |
| Family Practice | KS | |
| - | IL | |
| - | AZ | |
| Nurse Practitioner | AZ | |
| Physician Assistant | AZ | |
| - | AZ | |
| Nurse Practitioner | AZ |
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