Organization Active NPI

Lotus Rehab LLC

  • Addiction Medicine (Internal Medicine) Physician
  • Somerset, KY
National Provider Identifier
1033618897
Registry record updated Jul 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X
Legal business name
LOTUS REHAB LLC
Practice address
104 Hardin LN Ste B
Somerset, KY 42503-3800
Phone
(606) 677-1112
Fax
(606) 679-1341
NPI assigned
Feb 7, 2018
Last updated
Jul 7, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2020

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

Authorized official

Name
Ibraiz Iqbal, MDNPI 1720067168
Title
Owner
Phone
(606) 677-1112

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Internal Medicine) Physician 207RA0401X NU Primary

Addresses

Primary practice location

104 Hardin LN Ste B
Somerset, KY 42503-3800

Mailing address

104 Hardin LN Ste B
Somerset, KY 42503-3800
Phone (606) 677-1112

National Provider Directory

National Provider Directory

Locations

104 Hardin Ln
Ste B
Somerset, KY 42503
Phone (606) 677-1112

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1517961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594080000000",
    "number": "1033618897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 HARDIN LN STE B",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425033800",
            "telephone_number": "606-677-1112",
            "fax_number": "606-679-1341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 HARDIN LN STE B",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425033800",
            "telephone_number": "606-677-1112",
            "fax_number": "606-679-1341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOTUS REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-07",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A",
        "authorized_official_last_name": "IQBAL",
        "authorized_official_first_name": "IBRAIZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-677-1112",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.