Individual provider Active NPI

Summaiya Iqbal, MD

  • Student in an Organized Health Care Education/Training Program
  • Brighton, MA
National Provider Identifier
1144684713
Registry record updated Sep 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
St Elizabeth's Medical Center
736 Cambridge St
Brighton, MA 02135-0001
Phone
(617) 789-2777
NPI assigned
Apr 11, 2016
Last updated
Sep 7, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 275430 MA
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

St Elizabeth's Medical Center
736 Cambridge St
Brighton, MA 02135-0001

Mailing address

736 Cambridge St
Brighton, MA 02135-2907
Phone (617) 789-2777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20210802000450 MA Practitioner - Anesthesiology 0547664351 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2005
Medicare assignment
May accept Medicare assignment
Group practices
Lowell Anesthesiology Service IncGroup PAC ID 3072556141, 98 clinicians
Capa Anesthesia LLCGroup PAC ID 1850786393, 69 clinicians

Practice addresses (Care Compare)

33 Bartlett St
Suite 203
Lowell, MA 01852-1317
Phone (978) 689-4601

40 Holland St
Somerville, MA 02144-2705
Phone (617) 629-6000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
275430MAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group, Inc Anesthesiology CurrentSince Jul 1, 2021 Accepting new patients
Lowell Anesthesiology Service, Inc. Anesthesiology CurrentSince Apr 27, 2025 Accepting new patients
Steward Medical Group, Inc CurrentSince Jul 1, 2021 Accepting new patients
Capa Anesthesia LLC Anesthesiology CurrentSince Mar 1, 2024 Accepting new patients
Cap Anesthesia, PC Anesthesiology Past Accepting new patients

Locations

138 Haverhill St
Andover, MA 01810
Phone (978) 296-2302

736 Cambridge St
Brighton, MA 02135
Phone (617) 789-2762

77 Warren St
Fl 4
Brighton, MA 02135
Phone (617) 562-5450

795 Middle St
Fall River, MA 02721
Phone (508) 235-5046

33 Bartlett St
Ste 203
Lowell, MA 01852
Phone (978) 689-4601

40 Holland St
Somerville, MA 02144
Phone (617) 629-6000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1460332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536278400000",
    "number": "1144684713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "736 CAMBRIDGE ST",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021352907",
            "telephone_number": "617-789-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ST ELIZABETH'S MEDICAL CENTER",
            "address_2": "736 CAMBRIDGE ST",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021350001",
            "telephone_number": "617-789-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IQBAL",
        "first_name": "SUMMAIYA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-11",
        "last_updated": "2018-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MA",
            "license": "275430",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, MA

Sources for this page

Verify at the official NPI Registry.