Individual provider Active NPI

Omer Iqbal, D.O.

  • Internal Medicine Physician
  • Huntsville, AL
National Provider Identifier
1255713327
Registry record updated Jan 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
DO.1670 Issued in AL
Practice address
420 Lowell Dr SE Ste 102
Huntsville, AL 35801-3755
Phone
(256) 715-9598
NPI assigned
Jun 24, 2015
Last updated
Jan 2, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Internal Medicine Physician 207R00000X DO.1670 AL Primary

Addresses

Primary practice location

420 Lowell Dr SE Ste 102
Huntsville, AL 35801-3755

Mailing address

PO Box 527
Huntsville, AL 35804-0527
Phone (256) 715-9598

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address omer.iqbal.1@17891.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20170809001492 AL Practitioner - Internal Medicine 5395032478 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Philadelphia College of Osteopathic Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

420 Lowell Dr SE
Suite 105
Huntsville, AL 35801-3755
Phone (256) 715-9598

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.65 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
75.5

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Im Clinic LLC Internal Medicine CurrentSince Mar 20, 2018 Accepting new patients
HH Heart Center, LLC PastSince Aug 1, 2024 Accepting new patients
Don a Evans MD /PA Internal Medicine PastSince Jan 8, 2023 Accepting new patients

Locations

420 Lowell Dr SE
Ste 101
Huntsville, AL 35801
Phone (256) 265-1310

420 Lowell Dr SE
Ste 102
Huntsville, AL 35801
Phone (256) 258-9278

420 Lowell Dr SE
Ste 103
Huntsville, AL 35801
Phone (256) 535-5940

420 Lowell Dr SE
Ste 105
Huntsville, AL 35801
Phone (256) 535-5988

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17891/brand/1/csg/1/fhir/r4
  • Direct secure messaging: omer.iqbal.1@17891.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1435104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672617600000",
    "number": "1255713327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 527",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358040527",
            "telephone_number": "256-715-9598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 LOWELL DR SE STE 102",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358013755",
            "telephone_number": "256-715-9598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IQBAL",
        "first_name": "OMER",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-24",
        "last_updated": "2023-01-02",
        "certification_date": "2023-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "DO.1670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "omer.iqbal.1@17891.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "420 Lowell Dr SE Ste 102",
            "city": "Huntsville",
            "state": "AL",
            "country_code": "US",
            "postal_code": "358013755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.