Active NPI
Shaheen Iqbal, MD
- Pulmonary Disease Physician
- Hagerstown, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- D47288
- Practice address
- 12821 Oak Hill Ave
Hagerstown, MD 21742 - Phone
- (301) 733-0300
- NPI assigned
- Dec 1, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 19274 | WV | |
| Pulmonary Disease Physician | 207RP1001X | MD 055858 L | PA | |
| Pulmonary Disease Physician | 207RP1001X | D47288 | MD | Primary |
Addresses
Primary practice location
12821 Oak Hill Ave
Hagerstown, MD 21742
Mailing address
12821 Oak Hill Ave
Hagerstown, MD 21742-2940
Phone (301) 733-0300
Other practice location 1
1823A E Main St
Waynesboro, PA 17268-1878
Phone (717) 762-3353
Other practice location 2
604 Solarex Ct Unit 207
Frederick, MD 21703-8655
Phone (240) 439-4344
Other practice location 3
11110 Medical Campus Rd Ste 224
Hagerstown, MD 21742-6727
Phone (301) 733-0300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 355381700 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
11116 Medical Campus Rd
Hagerstown, MD 21742-6710
12821 Oak Hill Ave
Hagerstown, MD 21742-2940
Phone (301) 733-0300
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD 055858 L | PA | MD | Pulmonary Disease Physician |
| 19274 | WV | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Practices of Antietam, LLC | Current | Accepting new patients | |
| Fulton County Medical Center | Current | Accepting new patients | |
| Fulton County Medical Center | Current | Accepting new patients | |
| Medical Practices of Antietam LLC | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
604 Solarex Ct
Unit 207
Frederick, MD 21703
Phone (240) 439-4344
11110 Medical Campus Rd
Ste 224
Hagerstown, MD 21742
Phone (301) 665-4560
12821 Oak Hill Ave
Hagerstown, MD 21742
Phone (301) 733-0300
3 Byrkit Dr
Williamsport, MD 21795
Phone (301) 582-1150
1823A E Main St
Waynesboro, PA 17268
Phone (717) 762-3353
1823 E Main St
#A
Waynesboro, PA 17268
Phone (717) 762-3353
Ownership & related parties
All facility ownership & control disclosures 2
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Meritus Medical Center Inc | Hospital | Corporate Director (100%) | Jan 1, 2014 |
| Meritus Home Health | Home health agency | Corporate Director (100%) | Jan 1, 2017 |
Owned or controlled facilities with NPI records 2
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- General Acute Care Hospital
- Hagerstown, MD
- NPI 1942281266
Corporate Director
-
dba Meritus Home Health
- Home Health Agency
- Hagerstown, MD
- NPI 1942290077
Corporate Director
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.
-
- Clinic/Center
- Hagerstown, MD
- NPI 1710854963
-
- Critical Access Hospital
- McConnellsburg, PA
- NPI 1326044694
-
- Critical Access Hospital
- McConnellsburg, PA
- NPI 1386722312
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- General Acute Care Hospital
- Hagerstown, MD
- NPI 1942281266
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652313600000",
"number": "1194709394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12821 OAK HILL AVE",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217422940",
"telephone_number": "301-733-0300",
"fax_number": "301-733-5773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12821 OAK HILL AVE",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "21742",
"telephone_number": "301-733-0300"
}
],
"practiceLocations": [
{
"address_1": "1823A E Main St",
"address_purpose": "LOCATION",
"city": "Waynesboro",
"state": "PA",
"postal_code": "172681878",
"country_code": "US",
"telephone_number": "717-762-3353",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "604 Solarex Ct Unit 207",
"address_purpose": "LOCATION",
"city": "Frederick",
"state": "MD",
"postal_code": "217038655",
"country_code": "US",
"telephone_number": "240-439-4344",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11110 Medical Campus Rd Ste 224",
"address_purpose": "LOCATION",
"city": "Hagerstown",
"state": "MD",
"postal_code": "217426727",
"country_code": "US",
"telephone_number": "301-733-0300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "IQBAL",
"first_name": "SHAHEEN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-01",
"last_updated": "2022-05-12",
"certification_date": "2022-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "WV",
"license": "19274",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "PA",
"license": "MD 055858 L",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "MD",
"license": "D47288",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "355381700",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hagerstown, MD
- Integrative Medicine Center. LLC
- Internal Medicine Consultation Services, LLC
- Internal Medicine Practice, P.a.
- Interstate Psychaitric Care
- Anwar Iqbal, MD
- Amanda Isard
- Shaila Lillielouise Isham
- Alicia Renee Isom, D.O.
- Erica S. Itnyre, CRNA
- Its Getting Better All the Time Ministries (its getting better all the time mental health outreach)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.