Individual provider Active NPI

Shahid Iqbal, M.D.

  • Allergy & Immunology Physician
  • Tampa, FL
National Provider Identifier
1174534473
Registry record updated Jan 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
ME80570 Issued in FL
Practice address
5516 Hanley Rd
Tampa, FL 33634-4904
Phone
(813) 876-0502
Fax
(813) 872-6503
NPI assigned
Aug 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X ME80570 FL Primary

Addresses

Primary practice location

5516 Hanley Rd
Tampa, FL 33634-4904

Mailing address

5516 Hanley Rd
Tampa, FL 33634-4904
Phone (813) 876-0502

Other identifiers 1

IdentifierTypeStateIssuer
104722300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20110309000377 FL Practitioner - Allergy/Immunology 8224210406 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5516 Hanley Rd
Tampa, FL 33634-4904
Phone (813) 876-0502

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME80570FLMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shahid Ali Iqbal MD PA Allergy & Immunology CurrentSince May 28, 2011 Accepting new patients
Primary Medical Care R Ayala MD PA PastSince Jul 20, 2009 Accepting new patients
Florida Medical Associates LLC PastSince Apr 3, 2023 Accepting new patients

Locations

5516 Hanley Rd
Tampa, FL 33634
Phone (813) 876-0502

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

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.

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578268800000",
    "number": "1174534473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5516 HANLEY RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336344904",
            "telephone_number": "813-876-0502",
            "fax_number": "813-872-6503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5516 HANLEY RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336344904",
            "telephone_number": "813-876-0502",
            "fax_number": "813-872-6503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IQBAL",
        "first_name": "SHAHID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "FL",
            "license": "ME80570",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104722300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.