Individual provider Active NPI

Pervaiz Iqbal, MD

  • Pulmonary Disease Physician
  • South Richmond Hill, NY
National Provider Identifier
1083658918
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
230198 Issued in NY
Practice address
11616 Liberty Ave
South Richmond Hill, NY 11419-1941
Phone
(718) 641-1117
Fax
(718) 756-1390
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 230198 NY Primary

Addresses

Primary practice location

11616 Liberty Ave
South Richmond Hill, NY 11419-1941

Mailing address

10 Harbor CT E
Roslyn, NY 11576-2435
Phone (718) 641-1117

Other practice location 1

236 Utica Ave
Brooklyn, NY 11213-3204
Phone (718) 756-1309

Other practice location 2

183 Broadway Ste 309
Hicksville, NY 11801-4242
Phone (516) 303-0537

Other practice location 3

1421 Saint Johns Pl
Brooklyn, NY 11213-3809
Phone (929) 484-1236

Other identifiers 1

IdentifierTypeStateIssuer
02512274MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040430001151 NY Practitioner - Internal MedicinePractitioner - Pulmonary Disease 8426046335 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pulmonary Disease
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pervaiz Iqbal Physician PCGroup PAC ID 6204097264, 2 clinicians

Practice addresses (Care Compare)

1135 Eastern Pkwy
Brooklyn, NY 11213-4107
Phone (718) 756-1309

Merit-based Incentive Payment System (MIPS)

Final score
21.38 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
71.28

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
230198NYMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pervaiz Medical Pulmonary Care P.C. CurrentSince Jul 8, 2024 Accepting new patients
Intermed Care PC CurrentSince Jan 20, 2014 Accepting new patients
Hamza Pervaiz Physician PC Past Accepting new patients

Locations

3048 Brighton 1st St
Brooklyn, NY 11235
Phone (718) 368-1170

1421 Saint Johns Pl
Brooklyn, NY 11213
Phone (929) 484-1236

3048 Brighton 1st St
Ste 1
Brooklyn, NY 11235
Phone (718) 368-1170

183 Broadway
Hicksville, NY 11801
Phone (631) 889-0386

183 Broadway
Ste 309
Hicksville, NY 11801
Phone (516) 303-0537

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1083658918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 HARBOR CT E",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115762435",
            "telephone_number": "718-641-1117",
            "fax_number": "718-756-1391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11616 LIBERTY AVE",
            "city": "SOUTH RICHMOND HILL",
            "state": "NY",
            "postal_code": "114191941",
            "telephone_number": "718-641-1117",
            "fax_number": "718-756-1390"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "236 Utica Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112133204",
            "country_code": "US",
            "telephone_number": "718-756-1309",
            "fax_number": "718-756-1391",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "183 Broadway Ste 309",
            "address_purpose": "LOCATION",
            "city": "Hicksville",
            "state": "NY",
            "postal_code": "118014242",
            "country_code": "US",
            "telephone_number": "516-303-0537",
            "fax_number": "718-756-1390",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1421 Saint Johns Pl",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112133809",
            "country_code": "US",
            "telephone_number": "929-484-1236",
            "fax_number": "718-756-1390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IQBAL",
        "first_name": "PERVAIZ",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "230198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02512274",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Richmond Hill, NY

Sources for this page

Verify at the official NPI Registry.