Individual provider Active NPI

Adnan Iqbal, MD

  • Psychiatry Physician
  • Harris, NY
National Provider Identifier
1376652206
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
332129 Issued in NY
Practice address
68 Harris Bushville Rd
Harris, NY 12742
Phone
(845) 333-8909
NPI assigned
Aug 30, 2006
Last updated
Oct 16, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 36379 IA
Psychiatry Physician 2084P0800X S5933 TX
Psychiatry Physician 2084P0800X 332129 NY Primary
Psychiatry Physician 2084P0800X MD-36379 IA

Addresses

Primary practice location

68 Harris Bushville Rd
Harris, NY 12742

Mailing address

300 State St Unit 96041
Southlake, TX 76092-1277
Phone (917) 336-8422

Other practice location 1

2118 E State Highway 114
Southlake, TX 76092-6512
Phone (917) 336-8422

Other practice location 2

5560 Mesa Springs Dr
Fort Worth, TX 76123-2120
Phone (817) 398-8382

Other practice location 3

707 E Main St
Middletown, NY 10940-2650
Phone (845) 333-7575

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aiqbal74455@direct.garnethealth.org Direct Garnet Health Doctors PC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200520000905 TX Practitioner - Psychiatry 5890837611 Reassigns benefits to 3 organizations
I20240913000466 NY Practitioner - Psychiatry 5890837611 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Garnet Health Doctors PCGroup PAC ID 8628293545, 165 clinicians

Practice addresses (Care Compare)

2118 E State Hwy 114
Southlake, TX 76092-6512
Phone (817) 756-8352

707 E Main St
Middletown, NY 10940-2650
Phone (845) 333-7575

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.1 of 100Reported as group
Quality
61
Promoting interoperability
100
Improvement activities
40
Cost
72.76

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36379IAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Garnet Health Doctors PC CurrentSince Sep 9, 2024 Accepting new patients
Premier Interventional Pain Management, P.L.L.C CurrentSince Jan 7, 2022 Accepting new patients
Behavioral Health of North Texas LLP CurrentSince Jul 1, 2020 Accepting new patients
Premier Interventional Pain Management, P.L.L.C CurrentSince Jan 7, 2022 Accepting new patients
Sunspire Health Texas LLC Past Accepting new patients
Capstone Behavioral Healthcare, Inc PastSince Oct 3, 2018 Accepting new patients
Garnet Health Medical Center Catskills Past Accepting new patients
LPNT BH Acquisition 2, LLC Past Accepting new patients
Mesa Springs, LLC Past Accepting new patients
Poweshiek County Mental Health Center Past Accepting new patients
Garnet Health Medical Center Catskills Past Accepting new patients

Locations

707 E Main St
Middletown, NY 10940
Phone (845) 333-1000

800 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 548-6100

8200 Walnut Hill Ln
Dallas, TX 75231
Phone (214) 345-6148

2321 Olympia Dr
Ste 100A
Flower Mound, TX 75028
Phone (972) 350-0225

5858 Main St
Ste 200
Frisco, TX 75033
Phone (214) 619-0721

240 N Miller Rd
Mansfield, TX 76063
Phone (214) 432-8322

990 S Sherman St
Richardson, TX 75081
Phone (972) 788-0350

2118 E State Highway 114
Southlake, TX 76092
Phone (817) 488-0410

Networks

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

Interoperability endpoints

  • Direct secure messaging: adnan.iqbal@183.securemail.prognocis.com

Organizations & group practices 12

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.

Hospital & facility affiliations 4

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1376652206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 STATE ST UNIT 96041",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760921277",
            "telephone_number": "917-336-8422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 HARRIS BUSHVILLE RD",
            "city": "HARRIS",
            "state": "NY",
            "postal_code": "12742",
            "telephone_number": "845-333-8909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2118 E State Highway 114",
            "address_purpose": "LOCATION",
            "city": "Southlake",
            "state": "TX",
            "postal_code": "760926512",
            "country_code": "US",
            "telephone_number": "917-336-8422",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5560 Mesa Springs Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761232120",
            "country_code": "US",
            "telephone_number": "817-398-8382",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "707 E Main St",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "NY",
            "postal_code": "109402650",
            "country_code": "US",
            "telephone_number": "845-333-7575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IQBAL",
        "first_name": "ADNAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IA",
            "license": "36379",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "S5933",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "332129",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IA",
            "license": "MD-36379",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aiqbal74455@direct.garnethealth.org",
            "affiliation": "Y",
            "affiliationName": "Garnet Health Doctors PC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "68 Harris Bushville Rd",
            "city": "Harris",
            "state": "NY",
            "country_code": "US",
            "postal_code": "12742",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Harris, NY

Sources for this page

Verify at the official NPI Registry.