Active NPI
Shahzad Iqbal, MD
- Gastroenterology Physician
- Mineola, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 254895
- Practice address
- 222 Station Plaza North
Suite 428
Mineola, NY 11501-3819 - Phone
- (516) 663-2066
- Fax
- (516) 663-4655
- NPI assigned
- Jul 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 002011 | NY | |
| Gastroenterology Physician | 207RG0100X | 84143 | SC | |
| Gastroenterology Physician | 207RG0100X | 254895 | NY | Primary |
Addresses
Primary practice location
222 Station Plaza North
Suite 428
Mineola, NY 11501-3819
Mailing address
1111 Montauk Hwy
3Rd Floor
West Islip, NY 11795
Phone (631) 376-0001
Other practice location 1
401 E Cheves St Ste 301
Florence, SC 29506-2615
Phone (843) 777-7166
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
14040 Sanford Ave
Flushing, NY 11355-2556
Phone (718) 299-7295
400 W Main St
Suite 300
Babylon, NY 11702-3019
Phone (631) 321-6400
Hospital & facility affiliations
- Good Samaritan Hospital Medical Center
- North Shore University Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 209 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 572 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 254895 | NY | MD | Licensed Practical Nurse |
| 002011 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wyckoff Professional Medical Services, PC | Internal Medicine | Current | Accepting new patients |
| Essen Medical Associates, PC | Current | Accepting new patients | |
| McLeod Physician Associates II | Internal Medicine | Current | Accepting new patients |
| CHS Physician Partners, P.C | Current | Accepting new patients | |
| University Physicians of Brooklyn, Inc. | Internal Medicine | Current | Accepting new patients |
| McLeod Regional Medical Center of the Pee Dee, Inc | Current | Accepting new patients | |
| McLeod Physician Associates II | Current | Accepting new patients | |
| McLeod Physician Associates II | Current | Accepting new patients | |
| Bronx Medical Practice P.C. | Internal Medicine | Current | Accepting new patients |
| McLeod Regional Medical Center of the Pee Dee, Inc | Internal Medicine | Current | Accepting new patients |
| Essen Medical Associates, PC | Current | Accepting new patients | |
| University Physicians of Brooklyn, Inc. | Current | Accepting new patients | |
| CHS Physician Partners, PC | Current | Accepting new patients | |
| University Physicians of Brooklyn, Inc. | Current | Accepting new patients | |
| Long Island Comprehensive Medical Care PLLC | Internal Medicine | Past | Accepting new patients |
Locations
400 W Main St
Ste 300
Babylon, NY 11702
Phone (631) 321-6400
2015 Grand Concourse
#13202
Bronx, NY 10453
2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400
2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200
450 Clarkson Ave
Brooklyn, NY 11203
Phone (718) 270-1603
1545 Atlantic Ave
Brooklyn, NY 11213
Phone (718) 613-4175
374 Stockholm St
Brooklyn, NY 11237
Phone (718) 963-6485
374 Stockholm St
#13202
Brooklyn, NY 11237
Phone (718) 963-6793
10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091
8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400
7554 Metropolitan Ave
Middle Vlg, NY 11379
Phone (718) 326-0400
1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012
100 Port Washington Blvd
Ste G3
Roslyn, NY 11576
Phone (516) 627-4800
1111 Montauk Hwy
#3
West Islip, NY 11795
Phone (631) 669-1171
1111 Montauk Hwy
Fl 3
West Islip, NY 11795
Phone (631) 376-0001
471 Montauk Hwy
West Islip, NY 11795
Phone (631) 376-2260
506 E Cheves St
#202
Florence, SC 29506
401 E Cheves St
Ste 301
Florence, SC 29506
Phone (843) 777-7166
800 E Cheves St
Ste 240
Florence, SC 29506
Phone (843) 777-7950
800 E Cheves St
Ste 480A
Florence, SC 29506
Phone (843) 777-7337
555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Interoperability endpoints
- siqbal88734@direct-chsli.net
- https://fhir4.healow.com/fhir/r4/JDHCCD
Organizations & group practices 15
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.
-
- Internal Medicine Physician
- Bronx, NY
- NPI 1356726087
-
- Interventional Cardiology Physician
- Fresh Meadows, NY
- NPI 1407089345
-
- Legal Medicine
- Bronx, NY
- NPI 1366418709
-
- Family Medicine Physician
- Brooklyn, NY
- NPI 1366506271
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1659710796
-
- Family Medicine Physician
- Florence, SC
- NPI 1801990494
Internal Medicine
-
- Emergency Medical Services (Emergency Medicine) Physician
- Florence, SC
- NPI 1154371433
Internal Medicine
-
- Cardiovascular Disease Physician
- Roslyn, NY
- NPI 1164585725
-
- Podiatrist
- Bronx, NY
- NPI 1720799158
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1568419000
-
- Child & Adolescent Psychiatry Physician
- Brooklyn, NY
- NPI 1689715476
-
- Urology Physician
- Florence, SC
- NPI 1649428194
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- West Islip, NY
- NPI 1902865355
-
- General Acute Care Hospital
- Manhasset, NY
- NPI 1366459570
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618444800000",
"number": "1386667947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 MONTAUK HWY",
"address_2": "3RD FLOOR",
"city": "WEST ISLIP",
"state": "NY",
"postal_code": "11795",
"telephone_number": "631-376-0001",
"fax_number": "631-676-0003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 STATION PLAZA NORTH",
"address_2": "SUITE 428",
"city": "MINEOLA",
"state": "NY",
"postal_code": "115013819",
"telephone_number": "516-663-2066",
"fax_number": "516-663-4655"
}
],
"practiceLocations": [
{
"address_1": "401 E Cheves St Ste 301",
"address_purpose": "LOCATION",
"city": "Florence",
"state": "SC",
"postal_code": "295062615",
"country_code": "US",
"telephone_number": "843-777-7166",
"fax_number": "843-777-7167",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "IQBAL",
"first_name": "SHAHZAD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-25",
"last_updated": "2021-04-15",
"certification_date": "2021-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "002011",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "SC",
"license": "84143",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NY",
"license": "254895",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mineola, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.