Individual provider Active NPI

Ather Iqbal, M.D.

  • Family Medicine Physician
  • Midlothian, VA
National Provider Identifier
1093854259
Registry record updated Mar 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
010124807 Issued in VA
Practice address
11020 Hull Street Rd
Midlothian, VA 23112-3200
Phone
(804) 744-6310
Fax
(804) 217-7991
NPI assigned
Feb 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 010124807 VA Primary
Family Medicine Physician 207Q00000X 200704 LA

Addresses

Primary practice location

11020 Hull Street Rd
Midlothian, VA 23112-3200

Mailing address

PO Box 758963
Baltimore, MD 21275-8963
Phone (804) 968-5700

Other identifiers 1

IdentifierTypeStateIssuer
1529435MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20100601000745 VA Practitioner - Geriatric MedicinePractitioner - Family Practice 2567434665 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Geriatric MedicineAlso: Family Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCV Associated PhysiciansGroup PAC ID 4385542117, 1,779 clinicians

Practice addresses (Care Compare)

2116 W Laburnum Ave
Richmond, VA 23227-4359
Phone (804) 254-3500

Hospital & facility affiliations

  • Vcu Health Hospice at Home by Bayada Hospice, Richmond, VA, CCN 491648
  • Medical College of Virginia Hospitals Hospital, Richmond, VA, CCN 490032
  • Lakeside Health & Rehabilitation Nursing home, Richmond, VA, CCN 495045

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
010124807VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MCV Associated Physicians Family Medicine CurrentSince Apr 20, 2020 Accepting new patients
Doctors Office 2 U Past Accepting new patients
First You Medical Center PLLC Family Medicine Past Accepting new patients
First Stop Urgent Care Center PSC Family Medicine Past Accepting new patients
First You Physician House Calls PSC Family Medicine Past Accepting new patients
Catahoula Parish Hospital District No 2 Past Accepting new patients

Locations

2116 W Laburnum Ave
Richmond, VA 23227
Phone (804) 254-3500

401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409

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 4

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": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269561600000",
    "number": "1093854259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 758963",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212758963",
            "telephone_number": "804-968-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11020 HULL STREET RD",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231123200",
            "telephone_number": "804-744-6310",
            "fax_number": "804-217-7991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IQBAL",
        "first_name": "ATHER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2010-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "010124807",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "200704",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1529435",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

Verify at the official NPI Registry.