Individual provider Active NPI

Muhammad Iqbal, MD

  • Anesthesiology Physician
  • Roslyn, NY
National Provider Identifier
1306868567
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
226777 Issued in NY
Practice address
193 Dogwood Rd
Roslyn, NY 11576-3005
Phone
(718) 416-4389
Fax
(718) 416-3652
NPI assigned
Jul 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 226777 NY Primary

Addresses

Primary practice location

193 Dogwood Rd
Roslyn, NY 11576-3005

Mailing address

193 Dogwood Rd
Roslyn, NY 11576-3005
Phone (516) 484-2106

Other identifiers 1

IdentifierTypeStateIssuer
02379871MedicaidNY

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
I20031203000291 NY Practitioner - Anesthesiology 9931004983 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15615 35TH Ave
Flushing, NY 11354-5015
Phone (718) 463-6134

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
226777NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Muhammad Iqbal Medical SVCS PC Current Accepting new patients
Muhammad Iqbal Medical Services, P.C Anesthesiology CurrentSince Mar 4, 2005 Accepting new patients
Apollo Anesthesia, PC Anesthesiology Past Accepting new patients
Salem Medical Office PC Past Accepting new patients
Horizon Anesthesia PC Anesthesiology PastSince Dec 1, 2012 Accepting new patients

Locations

15615 35th Ave
Flushing, NY 11354
Phone (718) 463-6134

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306868567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "193 DOGWOOD RD",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115763005",
            "telephone_number": "516-484-2106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "193 DOGWOOD RD",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115763005",
            "telephone_number": "718-416-4389",
            "fax_number": "718-416-3652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IQBAL",
        "first_name": "MUHAMMAD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "226777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02379871",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roslyn, NY

Sources for this page

Verify at the official NPI Registry.