Individual provider Active NPI

Kiran Iqbal, MD

  • Psychiatry Physician
  • Ashburn, VA
National Provider Identifier
1104086693
Registry record updated Jan 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
D0070647 Issued in MD
Practice address
44095 Pipeline PLZ Ste 240
Ashburn, VA 20147-7515
Phone
(703) 723-2999
Fax
(703) 723-4144
NPI assigned
Jun 10, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X D0070647 MD Primary

Addresses

Primary practice location

44095 Pipeline PLZ Ste 240
Ashburn, VA 20147-7515

Mailing address

44095 Pipeline PLZ Ste 240
Ashburn, VA 20147-7515
Phone (703) 723-2999

Other practice location 1

701 W Pratt St
4th Floor
Baltimore, MD 21201-1023
Phone (410) 328-3522

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Aug 1, 2017 through Aug 1, 2027

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579305600000",
    "number": "1104086693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44095 PIPELINE PLZ STE 240",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201477515",
            "telephone_number": "703-723-2999",
            "fax_number": "703-723-4144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44095 PIPELINE PLZ STE 240",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201477515",
            "telephone_number": "703-723-2999",
            "fax_number": "703-723-4144"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 W Pratt St",
            "address_2": "4th Floor",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212011023",
            "country_code": "US",
            "telephone_number": "410-328-3522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IQBAL",
        "first_name": "KIRAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-10",
        "last_updated": "2020-01-18",
        "certification_date": "2020-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D0070647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashburn, VA

Sources for this page

Verify at the official NPI Registry.