Active NPI
Aqsa Iqbal
- Internal Medicine Physician
- Gainesville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036.165919
- Practice address
- 743 Spring St NE # 710
Gainesville, GA 30501-3715 - Phone
- (770) 219-8730
- NPI assigned
- Mar 24, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036.165919 | IL | Primary |
Addresses
Primary practice location
743 Spring St NE # 710
Gainesville, GA 30501-3715
Mailing address
743 Spring St NE # 710
Gainesville, GA 30501-3715
Phone (770) 219-8730
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
405 W Jackson St
Carbondale, IL 62901-1462
Phone (618) 549-0721
Hospital & facility affiliations
- Hospice of Southern Illinois, Inc
- Memorial Hospital of Carbondale
- Herrin Hospital
- Harrisburg Medical Center
- Marshall Browning Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.96 of 100
- Quality
- 77.5
- Improvement activities
- 40
- Cost
- 74.58
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.165919 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 24 On Physicians, PC | Current | Accepting new patients | |
| 24 On Physicians, P.C. | Current | Accepting new patients |
Locations
13000 Deerfield Pkwy
Ste 100
Alpharetta, GA 30004
405 W Jackson St
Carbondale, IL 62901
2 S Hospital Dr
Murphysboro, IL 62966
Phone (618) 684-3156
1100 E Norris Dr
Ottawa, IL 61350
Phone (815) 416-1224
Organizations & group practices 2
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.
-
- Hospitalist Physician
- Ottawa, IL
- NPI 1346480431
-
- Hospitalist Physician
- Attleboro, MA
- NPI 1790104511
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Harrisburg, IL
- NPI 1073580130
-
- Community Based Hospice Care Agency
- Belleville, IL
- NPI 1720081805
-
- Critical Access Hospital
- Du Quoin, IL
- NPI 1821099441
-
dba Memorial Hospital of Carbondale
- General Acute Care Hospital
- Carbondale, IL
- NPI 1093801797
-
dba Herrin Hospital
- General Acute Care Hospital
- Herrin, IL
- NPI 1528158573
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693958400000",
"number": "1215564711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "743 SPRING ST NE # 710",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305013715",
"telephone_number": "770-219-8730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "743 SPRING ST NE # 710",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305013715",
"telephone_number": "770-219-8730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IQBAL",
"first_name": "AQSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-24",
"last_updated": "2023-09-06",
"certification_date": "2023-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036.165919",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, GA
- Mario Deaundra Ingram, M.D.
- Innovative Hearing Solutions, Inc (GoToHearing)
- Integrated Healthcare Center of Gainesville LLC
- Integrative Mental Wellness Care
- Interim Healthcare of Northeast Georgia Inc
- Susan Irick, NP
- Babette Marie Irizarry, MD
- Christopher Irvin
- Farah F Isbell, MCDCCCSLP
- Saylor Ivester, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.