Individual provider Active NPI

Iqbal Masood, MD

  • Nephrology Physician
  • Grand Forks, ND
National Provider Identifier
1013176759
Registry record updated Sep 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
13474 Issued in ND
Practice address
1300 S Columbia Rd
Grand Forks, ND 58201
Phone
(701) 780-2300
NPI assigned
Jun 7, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD436954 PA
Internal Medicine Physician 207R00000X 91778 OH
Nephrology Physician 207RN0300X 13474 ND Primary

Addresses

Primary practice location

1300 S Columbia Rd
Grand Forks, ND 58201

Mailing address

2401 Demers Ave
Grand Forks, ND 58201
Phone (701) 780-1891

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address imasood68252@direct.directaltru.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND, MN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150123000612 ND Practitioner - Nephrology 3375616881 Reassigns benefits to 1 organization
I20150217001675 MN Practitioner - NephrologyPractitioner - Internal Medicine 3375616881 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Altru Health SystemGroup PAC ID 1355251604, 675 clinicians

Practice addresses (Care Compare)

1001 7TH St NE
Devils Lake, ND 58301-2719
Phone (701) 662-2157

1200 S Columbia Rd
Grand Forks, ND 58201-4036
Phone (701) 780-5000

1300 S Columbia Rd
Grand Forks, ND 58201-4012
Phone (701) 780-5000

1380 S Columbia Rd
Grand Forks, ND 58201-4059
Phone (701) 795-2000

1845 Hwy 59 S
Thief River Falls, MN 56701-4318
Phone (218) 681-7280

301 Mountain St E
Cavalier, ND 58220-4015
Phone (701) 265-8338

400 S Minnesota St
Crookston, MN 56716-1808
Phone (218) 281-9100

4500 S Washington St
Grand Forks, ND 58201-7217
Phone (701) 732-7400

711 Delmore Dr
Roseau, MN 56751-1534
Phone (218) 463-1365

715 Delmore Dr
Roseau, MN 56751-1534
Phone (218) 463-2500

Hospital & facility affiliations

  • DaVita Dialysis at the Forks Dialysis facility, Grand Forks, ND, CCN 352505
  • Altru Dialysis Sat at Mercy Hosp Dialysis facility, Devils Lake, ND, CCN 353506
  • Altru Health System Renal Dialysis at Lifecare Dialysis facility, Roseau, MN, CCN 243540
  • Altru Hospital Hospital, Grand Forks, ND, CCN 350019
  • Lifecare Medical Center Hospital, Roseau, MN, CCN 241344
  • Pembina County Memorial Hospital Hospital, Cavalier, ND, CCN 351319
  • Unity Medical Center Hospital, Grafton, ND, CCN 351320
  • Kittson Healthcare Hospital, Hallock, MN, CCN 241336
  • Altru Rehabilitation Hospital Inpatient rehabilitation facility, Grand Forks, ND, CCN 353027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
91778OHMDInternal Medicine Physician
13474NDMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Altru Health System CurrentSince Nov 25, 2014 Accepting new patients
Altru Health System CurrentSince Nov 25, 2014 Accepting new patients
Altru Health System Internal Medicine Current Accepting new patients
Altru Health System Current Accepting new patients
Altru Health System CurrentSince Jan 1, 2015 Accepting new patients
Clinic Pharmacy Inc Past Accepting new patients

Locations

400 S Minnesota St
Crookston, MN 56716
Phone (218) 281-9100

607 Demers Ave
East Grand Forks, MN 56721
Phone (218) 773-0357

19120 200th St
Greenbush, MN 56726
Phone (218) 782-2400

711 Delmore Dr
Roseau, MN 56751
Phone (218) 463-1365

412 Main Ave NE
Warroad, MN 56763
Phone (218) 386-2020

201 E 3rd Ave S
Cavalier, ND 58220
Phone (701) 265-8338

1001 7th St NE
Devils Lake, ND 58301
Phone (701) 662-2157

164 W 13th St
Grafton, ND 58237
Phone (701) 352-1620

1380 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 795-2000

2401 Demers Ave
Grand Forks, ND 58201
Phone (701) 780-1891

1200 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 780-5243

1000 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 780-5089

1300 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 780-2300

Interoperability endpoints

  • Direct secure messaging: imasood68252@direct.directaltru.org

Organizations & group practices 6

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.

Hospital & facility affiliations 9

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

NPI Registry JSON

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

{
    "created_epoch": "1212796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601251200000",
    "number": "1013176759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 DEMERS AVE",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "58201",
            "telephone_number": "701-780-1891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 S COLUMBIA RD",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "58201",
            "telephone_number": "701-780-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASOOD",
        "first_name": "IQBAL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-07",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD436954",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "91778",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "ND",
            "license": "13474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "imasood68252@direct.directaltru.org",
            "affiliation": "N",
            "endpointDescription": "direct mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1300 S Columbia Rd",
            "city": "Grand Forks",
            "state": "ND",
            "country_code": "US",
            "postal_code": "58201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Grand Forks, ND

Sources for this page

Verify at the official NPI Registry.