Individual provider Active NPI

Shahzad Iqbal, MD

  • Gastroenterology Physician
  • Mineola, NY
National Provider Identifier
1386667947
Registry record updated Apr 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
254895 Issued in NY
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

Updated by the provider on Apr 15, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, SC2 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
I20050802001269 NY Practitioner - GastroenterologyPractitioner - Internal Medicine 7214965193 Reassigns benefits to 5 organizations
I20210423000475 SC Practitioner - GastroenterologyPractitioner - Geriatric MedicinePractitioner - Internal Medicine 7214965193 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bronx Medical Practice PCGroup PAC ID 9739496100, 136 clinicians
CHS Physician Partners PCGroup PAC ID 7618955667, 739 clinicians

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 Hospital, West Islip, NY, CCN 330286
  • North Shore University Hospital Hospital, Manhasset, NY, CCN 330106

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy209
Upper gastrointestinal (GI) endoscopy for acid reflux572
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
254895NYMDLicensed Practical Nurse
002011NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wyckoff Professional Medical Services, PC Internal Medicine CurrentSince Aug 1, 2020 Accepting new patients
Essen Medical Associates, PC CurrentSince Mar 5, 2019 Accepting new patients
McLeod Physician Associates II Internal Medicine Current Accepting new patients
CHS Physician Partners, P.C CurrentSince Aug 29, 2022 Accepting new patients
University Physicians of Brooklyn, Inc. Internal Medicine CurrentSince Jul 1, 2014 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc CurrentSince Oct 7, 2024 Accepting new patients
McLeod Physician Associates II CurrentSince Apr 16, 2021 Accepting new patients
McLeod Physician Associates II CurrentSince Apr 16, 2021 Accepting new patients
Bronx Medical Practice P.C. Internal Medicine CurrentSince Mar 5, 2019 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc Internal Medicine CurrentSince Oct 7, 2024 Accepting new patients
Essen Medical Associates, PC CurrentSince Mar 5, 2019 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. CurrentSince Jul 1, 2014 Accepting new patients
Long Island Comprehensive Medical Care PLLC Internal Medicine PastSince Dec 22, 2011 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

  • Direct secure messaging: siqbal88734@direct-chsli.net
  • FHIR API: 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.

View all 15

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": "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

Verify at the official NPI Registry.