Individual provider Active NPI

Atiya Iqbal, MD

  • Family Medicine Physician
  • Colleyville, TX
National Provider Identifier
1013052570
Registry record updated Mar 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
N0121 Issued in TX
Practice address
7151 Colleyville Blvd
Suite 103
Colleyville, TX 76034-8029
Phone
(817) 416-1931
Fax
(817) 488-8527
NPI assigned
Feb 21, 2007
Last updated
Mar 27, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X N0121 TX Primary

Addresses

Primary practice location

7151 Colleyville Blvd
Suite 103
Colleyville, TX 76034-8029

Mailing address

PO Box 96221
Southlake, TX 76092-0127
Phone (817) 424-3366

Other identifiers 1

IdentifierTypeStateIssuer
8AD148OtherTXBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081006000605 TX Practitioner - Family Practice 5496775520 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Patient First Medical Group PAGroup PAC ID 4385709914, 2 clinicians

Practice addresses (Care Compare)

7151 Colleyville Blvd
Suite 103
Colleyville, TX 76034-8030
Phone (214) 740-2402

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Patient First Medical Group PA Family Medicine CurrentSince Oct 1, 2009 Accepting new patients
Healthtexas Provider Network Family Medicine Past Accepting new patients

Locations

7151 Colleyville Blvd
Ste 103
Colleyville, TX 76034
Phone (214) 740-2402

Interoperability endpoints

  • Direct secure messaging: atiya.iqbal@ptfgrp.eclinicaldirectplus.com

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395878400000",
    "number": "1013052570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 96221",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760920127",
            "telephone_number": "817-424-3366",
            "fax_number": "817-424-3426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7151 COLLEYVILLE BLVD",
            "address_2": "SUITE 103",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760348029",
            "telephone_number": "817-416-1931",
            "fax_number": "817-488-8527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IQBAL",
        "first_name": "ATIYA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2014-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N0121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8AD148",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colleyville, TX

Sources for this page

Verify at the official NPI Registry.