Individual provider Active NPI

Saiqa Iram, MD

  • Internal Medicine Physician
  • Deer Park, NY
National Provider Identifier
1225694169
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
P11592 Issued in NY
Practice address
770 Grand Blvd Ste 10
Deer Park, NY 11729-5725
Phone
(347) 264-6436
Fax
(631) 377-5727
NPI assigned
May 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X P11592 NY Primary

Addresses

Primary practice location

770 Grand Blvd Ste 10
Deer Park, NY 11729-5725

Mailing address

770 Grand Blvd Ste 10
Deer Park, NY 11729-5725
Phone (347) 264-6436

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20230727000538 NY Practitioner - Internal Medicine 7416318282 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Southwest Suffolk Medical PCGroup PAC ID 0244396349, 204 clinicians
Wyckoff Professional Medical Services PCGroup PAC ID 6406748607, 154 clinicians

Practice addresses (Care Compare)

1000 Montauk Hwy
West Islip, NY 11795-4927
Phone (631) 376-3000

374 Stockholm St
Brooklyn, NY 11237-4006
Phone (718) 963-7266

770 Grand Blvd
Suite 10
Deer Park, NY 11729-5725
Phone (631) 326-0011

Hospital & facility affiliations

  • Good Samaritan Hospital Medical Center Hospital, West Islip, NY, CCN 330286
  • Wyckoff Heights Medical Center Hospital, Brooklyn, NY, CCN 330221

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P11592NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wyckoff Professional Medical Services, PC Internal Medicine CurrentSince Oct 1, 2024 Accepting new patients
CHS Physician Partners, P.C CurrentSince Aug 1, 2023 Accepting new patients
CHS Physician Partners, PC Current Accepting new patients
CHS Physician Partners, PC Internal Medicine CurrentSince Aug 1, 2023 Accepting new patients
Southwest Suffolk Medical PC CurrentSince Feb 2, 2026 Accepting new patients
7 Susan Medical PC Internal Medicine CurrentSince Feb 17, 2025 Accepting new patients

Locations

374 Stockholm St
Brooklyn, NY 11237
Phone (718) 963-6485

770 Grand Blvd
Ste 10
Deer Park, NY 11729
Phone (347) 264-6436

750 S Broadway
Hicksville, NY 11801
Phone (516) 827-2727

510 Hicksville Rd
Massapequa, NY 11758
Phone (516) 729-2626

100 Port Washington Blvd
Ste G3
Roslyn, NY 11576
Phone (516) 627-4800

1000 Montauk Hwy
West Islip, NY 11795
Phone (516) 705-2689

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Organizations & group practices 7

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": "1557964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1225694169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 GRAND BLVD STE 10",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117295725",
            "telephone_number": "347-264-6436",
            "fax_number": "631-377-5727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 GRAND BLVD STE 10",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117295725",
            "telephone_number": "347-264-6436",
            "fax_number": "631-377-5727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRAM",
        "first_name": "SAIQA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-16",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "P11592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deer Park, NY

Sources for this page

Verify at the official NPI Registry.