NPIMap

Individual provider Active NPI

Zaffar Iqbal, M.D.

  • Internal Medicine Physician
  • Kingman, AZ
National Provider Identifier
1316137169
Registry record updated Feb 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
32218 Issued in AZ
Practice address
3636 Stockton Hill Rd
Suite 1
Kingman, AZ 86409-0514
Phone
(928) 757-8440
Fax
(928) 757-5460
NPI assigned
Jul 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2015

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 32218 AZ Primary

Addresses

Primary practice location

3636 Stockton Hill Rd
Suite 1
Kingman, AZ 86409-0514

Mailing address

3636 Stockton Hill Rd
Suite 1
Kingman, AZ 86409-0514
Phone (928) 757-8440

Other identifiers 1

IdentifierTypeStateIssuer
889420MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041102001206 AZ Practitioner - Internal Medicine 8527020429 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

3555 Western Ave
Kingman, AZ 86409-3291
Phone (928) 757-8440

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
001553NYMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Kingman Healthcare, Inc Family Medicine Current Accepting new patients
Northern Arizona Medical Group, PLLC CurrentSince Jun 1, 2008 Accepting new patients
Kingman Healthcare, Inc CurrentSince Mar 4, 2009 Accepting new patients
Kingman Healthcare, Inc Family Medicine CurrentSince Mar 4, 2009 Accepting new patients
Northern Arizona Medical Group PLLC Internal Medicine Past Accepting new patients
Weidner Medical Consulting PLLC Family Medicine PastSince Jan 31, 2010 Accepting new patients
Northern Arizona Medical Group, PLLC Past Accepting new patients
Diane E. Reed Past Accepting new patients
Premier Home Health Agency PastSince Mar 18, 2014 Accepting new patients

Locations

4225 US Highway 68
Ste B
Golden Valley, AZ 86413

1739 E Beverly Ave
Ste 201
Kingman, AZ 86409
Phone (928) 681-8704

3269 N Stockton Hill Rd
Kingman, AZ 86409
Phone (928) 757-0626

3555 Western Ave
Kingman, AZ 86409
Phone (928) 530-5430

Organizations & group practices 9

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": "1185494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422835200000",
    "number": "1316137169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3636 STOCKTON HILL RD",
            "address_2": "SUITE 1",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864090514",
            "telephone_number": "928-757-8440",
            "fax_number": "928-757-5460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3636 STOCKTON HILL RD",
            "address_2": "SUITE 1",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864090514",
            "telephone_number": "928-757-8440",
            "fax_number": "928-757-5460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IQBAL",
        "first_name": "ZAFFAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-27",
        "last_updated": "2015-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "32218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "889420",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingman, AZ

Sources for this page

Verify at the official NPI Registry.