Bader Iqbal, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G069473 Issued in CA

Practice address

3180 Willow LN Ste 102
Thousand Oaks, CA 91361-4900

Phone

(805) 494-8520

Fax

(805) 557-0196

NPI assigned

Jul 27, 2006

Last updated

Feb 19, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Family Practice

Education

Rush Medical College of Rush University, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Agoura Family Practice AssociatesGroup PAC ID 7214087949, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Soul Care Home Health Home health agency, Agoura Hills, CA, CCN 757098
• South Valley Hospice Services, Inc. Hospice, Agoura Hills, CA, CCN 551618

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• South Valley Hospice Services Inc

  • Community Based Hospice Care Agency
  • Agoura Hills, CA
  • NPI 1871672303

  5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, W-2 Managing Employee

  CMS ownership

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.

• Agoura Family Practice Associates

  • Family Medicine Physician
  • Thousand Oaks, CA
  • NPI 1912960345
  Medicare reassignment Care Compare group NPD Authorized official
• Agoura Family Practice Associates

  dba Agoura Family Practice Medical Assoicates

  • Non-Pharmacy Dispensing Site
  • Thousand Oaks, CA
  • NPI 1174995518
  NPD Authorized official
• NPI 1033163019

  • NPI 1033163019
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Soul Care Home Health

  • Home Health Agency
  • Woodland Hills, CA
  • NPI 1174124994
  Care Compare affiliation
• South Valley Hospice Services Inc

  • Community Based Hospice Care Agency
  • Agoura Hills, CA
  • NPI 1871672303
  Care Compare affiliation

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582070400000",
    "number": "1346254364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3180 WILLOW LN STE 102",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913614900",
            "telephone_number": "805-494-8520",
            "fax_number": "805-557-0196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3180 WILLOW LN STE 102",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913614900",
            "telephone_number": "805-494-8520",
            "fax_number": "805-557-0196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IQBAL",
        "first_name": "BADER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G069473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "G069473",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1912960345",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Integrated Surgical Center
• Interface Children Family Services
• Intervention Institute
• Harendra Ipalawatte, MD
• Aamir Iqbal, M.D.
• Irina Feldman, M.D., Inc.
• Eric Zachary Shorr Irshay
• Irving K Loh M D Inc
• Gail Marie Irwin, LMFT
• Derrick T Isa, MPT, DPT

• Family Medicine Physician in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.