Organization Active NPI

Husna Iqbal MD PA

  • Family Medicine Physician
  • Desoto, TX
National Provider Identifier
1346439338
Registry record updated Jun 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K3253 Issued in TX
Legal business name
HUSNA IQBAL MD PA
Practice address
2801 Duke of Gloucester St
St 101
Desoto, TX 75115-2084
Phone
(972) 572-8150
Fax
(972) 572-8055
NPI assigned
Oct 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2009

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

Authorized official

Name
Dr. Husna Iqbal, MDNPI 1427098946
Title
Physician
Phone
(972) 572-8150

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X K3253 TX Primary

Addresses

Primary practice location

2801 Duke of Gloucester St
St 101
Desoto, TX 75115-2084

Mailing address

2801 Duke of Gloucester St
St 101
Desoto, TX 75115-2084
Phone (972) 572-8150

Other identifiers 2

IdentifierTypeStateIssuer
164139101MedicaidTX
164139102MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050714000260 TX Part B Supplier - Clinic/Group Practice 4082640701 Receives reassigned benefits from 1 practitioner
Practice locations: Desoto, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0981708Husna Iqbal MD2801 Duke of Gluocester,Suite 101, Desoto, TX 75115Certificate of waiverJan 3, 2027

National Provider Directory

National Provider Directory

Locations

2801 Duke of Gloucester St
Ste 101
Desoto, TX 75115
Phone (972) 572-8150

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245196800000",
    "number": "1346439338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 DUKE OF GLOUCESTER ST",
            "address_2": "ST 101",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152084",
            "telephone_number": "972-572-8150",
            "fax_number": "972-572-8055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 DUKE OF GLOUCESTER ST",
            "address_2": "ST 101",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152084",
            "telephone_number": "972-572-8150",
            "fax_number": "972-572-8055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUSNA IQBAL MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-16",
        "last_updated": "2009-06-17",
        "status": "A",
        "authorized_official_last_name": "IQBAL",
        "authorized_official_first_name": "HUSNA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "972-572-8150",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K3253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164139101",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164139102",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Desoto, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.