Individual provider Active NPI

Shaheen Iqbal, MD

  • Pulmonary Disease Physician
  • Hagerstown, MD
National Provider Identifier
1194709394
Registry record updated May 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
D47288 Issued in MD
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

Updated by the provider on May 12, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
355381700MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040119000668 PA Practitioner - Pulmonary Disease 1658272919 Reassigns benefits to 2 organizations
I20120125000207 MD Practitioner - Pulmonary Disease 1658272919 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
MD 055858 LPAMDPulmonary Disease Physician
19274WVMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Practices of Antietam, LLC CurrentSince Aug 1, 2021 Accepting new patients
Fulton County Medical Center CurrentSince Mar 1, 2015 Accepting new patients
Fulton County Medical Center CurrentSince Mar 1, 2015 Accepting new patients
Medical Practices of Antietam LLC CurrentSince Aug 1, 2021 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.

FacilityTypeRoleSince
Meritus Medical Center IncHagerstown, MD, CCN 210001 Hospital Corporate Director (100%) Jan 1, 2014
Meritus Home HealthHagerstown, MD, CCN 217085 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.

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.

Hospital & facility affiliations 2

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": "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

Sources for this page

Verify at the official NPI Registry.