Active NPI
Ayesha Iqbal, M.B.B.S.
- Pediatrics Physician
- Baltimore, MD
National Provider Identifier
1275799330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- P22855
- Practice address
- 4927 Lanier Ave
Baltimore, MD 21215-5343 - Phone
- (469) 274-7209
- NPI assigned
- Jul 29, 2008
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | P22855 | MD | Primary |
Addresses
Primary practice location
4927 Lanier Ave
Baltimore, MD 21215-5343
Mailing address
4927 Lanier Ave
Baltimore, MD 21215-5343
Phone (469) 274-7209
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P22855 | MD | MD | Pediatrics Physician |
Interoperability endpoints
- ayesha.iqbal.1@18695.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217289600000",
"number": "1275799330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4927 LANIER AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212155343",
"telephone_number": "469-274-7209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4927 LANIER AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212155343",
"telephone_number": "469-274-7209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IQBAL",
"first_name": "AYESHA",
"name_prefix": "Dr.",
"credential": "M.B.B.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-29",
"last_updated": "2008-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MD",
"license": "P22855",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2008; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.