NPIMap

Individual provider Active NPI

Iqbal Akhtar Yar Khan, M.D.

  • Neurology Physician
  • Moberly, MO
National Provider Identifier
1003967977
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
113667 Issued in MO
Practice address
1513 Union Ave
Suite 2800
Moberly, MO 65270-9402
Phone
(660) 263-4434
Fax
(660) 263-4436
NPI assigned
Jan 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neurophysiology Physician 2084N0600X 113667 MO
Vascular Neurology Physician 2084V0102X 113667 MO
Neurology Physician 2084N0400X 113667 MO Primary

Addresses

Primary practice location

1513 Union Ave
Suite 2800
Moberly, MO 65270-9402

Mailing address

1513 Union Ave
Suite 2800
Moberly, MO 65270-9402
Phone (660) 263-4434

Other practice location 1

100 Medical Dr
Hannibal, MO 63401-6877
Phone (573) 221-5250

Other identifiers 1

IdentifierTypeStateIssuer
209992221MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rdoctor@hannibalclinic.directbygreenway.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20101220000366 MO Practitioner - NeurologyPractitioner - Sleep Medicine 3476640848 Reassigns benefits to 8 organizations
I20240203000199 IA Practitioner - Neurology 3476640848 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
113667MOMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Blessing Hospital CurrentSince May 1, 2022 Accepting new patients
Ozarks Medical Center CurrentSince Apr 2, 2018 Accepting new patients
Ozarks Medical Center Neurology CurrentSince Apr 2, 2018 Accepting new patients
Kirksville Clinic Corp Neurology CurrentSince Jul 10, 2012 Accepting new patients
Kirksville Clinic Corp Neurology CurrentSince Jul 10, 2012 Accepting new patients
Macon County Samaritan Hospital CurrentSince Apr 2, 2011 Accepting new patients
Van Buren County Hospital CurrentSince Dec 31, 2023 Accepting new patients
Putnam County Memorial Hospital Current Accepting new patients
Scotland County Memorial Hospital Current Accepting new patients
Van Buren County Hospital CurrentSince Sep 1, 2025 Accepting new patients
Van Buren County Hospital CurrentSince Dec 31, 2023 Accepting new patients
Wayne County Hospital CurrentSince Apr 6, 2024 Accepting new patients
Wayne County Hospital CurrentSince Apr 6, 2024 Accepting new patients
Wayne County Hospital Current Accepting new patients
Blessing Hospital CurrentSince May 1, 2022 Accepting new patients
Putnam County Memorial Hospital Past Accepting new patients
Blessing Hospital Past Accepting new patients
Moberly Medical Clinics Inc Past Accepting new patients
Moberly Medical Clinics Inc Past Accepting new patients

Locations

417 S East St
Corydon, IA 50060
Phone (641) 872-2260

304 Franklin St
Keosauqua, IA 52565
Phone (319) 293-3171

1005 Broadway St
Quincy, IL 62301

604 Old Highway 63 N
Columbia, MO 65201
Phone (573) 499-6600

101 Medical Dr
Hannibal, MO 63401

100 Medical Dr
Hannibal, MO 63401

103 E Commercial St
Kahoka, MO 63445
Phone (660) 727-3377

800 W Jefferson St
Kirksville, MO 63501
Phone (660) 626-2235

1205 N Missouri St
Macon, MO 63552
Phone (660) 385-3151

300 N Morley St
Ste F
Moberly, MO 65270
Phone (660) 263-4434

1515 Union Ave
Moberly, MO 65270
Phone (660) 263-2400

1926 Oak St
Unionville, MO 63565
Phone (660) 785-1834

1100 N Kentucky Ave
West Plains, MO 65775
Phone (417) 257-5959

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/putnamm-2b5c1bdb
  • FHIR API: https://api.platform.athenahealth.com/2622/brand/2/csg/22/fhir/r4
  • FHIR API: https://fhir.blessinghospital.com/R4/open-Prod
  • Direct secure messaging: iqbalkhan@bcs.allscriptsdirect.net
  • Direct secure messaging: rdoctor@hannibalclinic.directbygreenway.com

Organizations & group practices 54

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 54

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Sleep Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blessing Hospital 414 clinicians
Van Buren County Hospital 33 clinicians
Kirksville Clinic Corp 14 clinicians
Wayne County Hospital 46 clinicians
Scotland County Memorial Hospital 32 clinicians

Practice addresses (Care Compare)

100 Medical Dr
Hannibal, MO 63401-6877
Phone (217) 223-8400

1513 Union Ave
Suite 2800
Moberly, MO 65270-9403
Phone (660) 263-4434

304 Franklin St
Keosauqua, IA 52565-1164
Phone (319) 293-3171

315 S Osteopathy Ave
Kirksville, MO 63501-6401
Phone (660) 785-1000

417 S E St
Corydon, IA 50060-1860

417 S E St
Corydon, IA 50060-1865
Phone (641) 872-2260

450 E Sigler Ave
Memphis, MO 63555-1726
Phone (660) 465-2828

800 W Jefferson St
Kirksville, MO 63501-1443
Phone (660) 626-2235

Hospital & facility affiliations

  • Blessing Hospital Hospital, Quincy, IL, CCN 140015
  • Putnam County Memorial Hospital Hospital, Unionville, MO, CCN 261305
  • Van Buren County Hospital Hospital, Keosauqua, IA, CCN 161337
  • Scotland County Hospital Hospital, Memphis, MO, CCN 261310
  • Wayne County Hospital Hospital, Corydon, IA, CCN 161358

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1003967977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1513 UNION AVE",
            "address_2": "SUITE 2800",
            "city": "MOBERLY",
            "state": "MO",
            "postal_code": "652709402",
            "telephone_number": "660-263-4434",
            "fax_number": "660-263-4436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1513 UNION AVE",
            "address_2": "SUITE 2800",
            "city": "MOBERLY",
            "state": "MO",
            "postal_code": "652709402",
            "telephone_number": "660-263-4434",
            "fax_number": "660-263-4436"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Medical Dr",
            "address_purpose": "LOCATION",
            "city": "Hannibal",
            "state": "MO",
            "postal_code": "634016877",
            "country_code": "US",
            "telephone_number": "573-221-5250",
            "fax_number": "573-231-3717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "IQBAL",
        "middle_name": "AKHTAR YAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "MO",
            "license": "113667",
            "primary": false
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "MO",
            "license": "113667",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MO",
            "license": "113667",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209992221",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rdoctor@hannibalclinic.directbygreenway.com",
            "affiliation": "N",
            "address_1": "100 Medical Dr",
            "city": "Hannibal",
            "state": "MO",
            "country_code": "US",
            "postal_code": "634016877",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Moberly, MO

Sources for this page

Verify at the official NPI Registry.