Active NPI
Intikhab Iqbal, M.D.
- Gastroenterology Physician
- East Syracuse, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 259109
- Practice address
- 5000 Campuswood Drive
Suite 200
East Syracuse, NY 13057 - Phone
- (315) 234-6677
- Fax
- (315) 234-4808
- NPI assigned
- Jan 22, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 259109 | NY | |
| Gastroenterology Physician | 207RG0100X | 259109 | NY | Primary |
Addresses
Primary practice location
5000 Campuswood Drive
Suite 200
East Syracuse, NY 13057
Mailing address
5000 Campuswood Drive
Suite 200
East Syracuse, NY 13057
Phone (315) 234-6677
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
150 Broad St
Hamilton, NY 13346-9575
Phone (315) 824-7060
3045 John Trush Jr Blvd
Cazenovia, NY 13035-9556
Phone (315) 234-6677
5000 Campuswood Dr
Suite 200
East Syracuse, NY 13057-1268
Phone (315) 234-6677
5415 W Genesee St
Suite 203
Camillus, NY 13031-2162
Phone (315) 324-6677
739 Irving Ave
Suite 430
Syracuse, NY 13210-1653
Phone (315) 234-6677
Hospital & facility affiliations
- Community Memorial Hospital, Inc
- Crouse Hospital
- University Hospital S U N Y Health Science Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.09 of 100
- Quality
- 97.07
- Promoting interoperability
- 99
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 199 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 106 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Syracuse Gastroenterological Associates PC | Current | Accepting new patients | |
| Syracuse Endoscopy Associates, LLC | Current | Accepting new patients | |
| Syracuse Gastroenterological Associates.PC | Gastroenterology | Current | Accepting new patients |
Locations
5415 W Genesee St
Ste 203
Camillus, NY 13031
Phone (315) 324-6677
3045 John Trush Jr Blvd
Cazenovia, NY 13035
Phone (315) 824-7040
5000 Campuswood Dr
Ste 200
East Syracuse, NY 13057
5000 Campuswood Dr
Ste 100
East Syracuse, NY 13057
Phone (315) 234-6687
5000 Campuswood Dr
East Syracuse, NY 13057
150 Broad St
Hamilton, NY 13346
Phone (315) 824-1100
739 Irving Ave
Ste 400
Syracuse, NY 13210
Phone (315) 234-4815
736 Irving Ave
Ste 430
Syracuse, NY 13210
739 Irving Ave
Ste 430
Syracuse, NY 13210
1001 W Fayette St
Ste 400
Syracuse, NY 13204
Phone (315) 472-1488
739 Irving Ave
Ste 420
Syracuse, NY 13210
Phone (315) 470-7921
Organizations & group practices 3
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.
-
- Gastroenterology Physician
- East Syracuse, NY
- NPI 1619947843
-
- Endoscopy Clinic/Center
- East Syracuse, NY
- NPI 1073587416
-
- Anesthesiology Physician
- East Syracuse, NY
- NPI 1417326661
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Hamilton, NY
- NPI 1992707608
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1033107743
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1578554630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720569600000",
"number": "1063650489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5000 CAMPUSWOOD DRIVE",
"address_2": "SUITE 200",
"city": "EAST SYRACUSE",
"state": "NY",
"postal_code": "13057",
"telephone_number": "315-234-6677",
"fax_number": "315-234-4808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5000 CAMPUSWOOD DRIVE",
"address_2": "SUITE 200",
"city": "EAST SYRACUSE",
"state": "NY",
"postal_code": "13057",
"telephone_number": "315-234-6677",
"fax_number": "315-234-4808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IQBAL",
"first_name": "INTIKHAB",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-01-22",
"last_updated": "2024-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "259109",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NY",
"license": "259109",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.