Individual provider Active NPI

Hameed Iqbal, MD

  • Internal Medicine Physician
  • Florence, AL
National Provider Identifier
1205190360
Registry record updated Apr 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
41926 Issued in AL
Practice address
201 Rosa LN
Florence, AL 35630-1770
Phone
(607) 428-5074
Fax
(607) 758-8210
NPI assigned
Jul 3, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 41926 AL
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 41926 AL Primary
Hospitalist Physician 208M00000X 280131 NY

Addresses

Primary practice location

201 Rosa LN
Florence, AL 35630-1770

Mailing address

PO Box 2587
Muscle Shoals, AL 35662-2587
Phone (256) 383-4473

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, AL2 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
I20151117000400 NY Practitioner - HospitalistPractitioner - Internal Medicine 7416180435 Reassigns benefits to 1 organization
I20210728000440 AL Practitioner - Internal Medicine 7416180435 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shoals Primary Care, LLCGroup PAC ID 1557406246, 41 clinicians

Practice addresses (Care Compare)

1404 E Avalon Ave
Tuscumbia, AL 35674-1773
Phone (256) 381-5507

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
41926ALMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shoals Primary Care, LLC Internal Medicine CurrentSince Aug 30, 2021 Accepting new patients
Guthrie Medical Group, P.C. Internal Medicine CurrentSince Oct 1, 2020 Accepting new patients
Guthrie Medical Group, P.C. CurrentSince Oct 1, 2020 Accepting new patients

Locations

201 Rosa Ln
Florence, AL 35630
Phone (205) 760-8484

342 Cox Blvd
Sheffield, AL 35660
Phone (256) 383-4473

1404 E Avalon Ave
Tuscumbia, AL 35674
Phone (256) 381-5507

130 Center Way
Corning, NY 14830
Phone (607) 936-9971

134 Homer Ave
Cortland, NY 13045
Phone (607) 756-3500

1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106

Interoperability endpoints

  • Direct secure messaging: hiqbal161530@direct-guthrie.org

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.

Hospital & facility affiliations 6

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": "1341273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1205190360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2587",
            "city": "MUSCLE SHOALS",
            "state": "AL",
            "postal_code": "356622587",
            "telephone_number": "256-383-4473",
            "fax_number": "256-320-7280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 ROSA LN",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356301770",
            "telephone_number": "607-428-5074",
            "fax_number": "607-758-8210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IQBAL",
        "first_name": "HAMEED",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-03",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "AL",
            "license": "41926",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "41926",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NY",
            "license": "280131",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, AL

Sources for this page

Verify at the official NPI Registry.