Individual provider Active NPI

Iqbal Abdus Samad, MD FRCP FCCP

  • Pulmonary Disease Physician
  • Buffalo, NY
National Provider Identifier
1396701843
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
105005 Issued in NY
Practice address
2148 Main St
Buffalo, NY 14214-2668
Phone
(716) 835-9866
Fax
(716) 835-0026
NPI assigned
Apr 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 105005 NY Primary

Addresses

Primary practice location

2148 Main St
Buffalo, NY 14214-2668

Mailing address

2148 Main St
Buffalo, NY 14214-2668
Phone (716) 835-9866

Other identifiers 1

IdentifierTypeStateIssuer
00683358MedicaidNY

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20101222000981 NY Practitioner - Internal MedicinePractitioner - Pulmonary Disease 7911195557

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1396701843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2148 MAIN ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142142668",
            "telephone_number": "716-835-9866",
            "fax_number": "716-835-0026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2148 MAIN ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142142668",
            "telephone_number": "716-835-9866",
            "fax_number": "716-835-0026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMAD",
        "first_name": "IQBAL",
        "middle_name": "ABDUS",
        "name_prefix": "Dr.",
        "credential": "MD FRCP FCCP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "105005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00683358",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.