Active NPI
Ammarah Iqbal, MD MPH
- Emergency Medicine Physician
- King of Prussia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD477669
- Practice address
- 550 S Goddard Blvd
King of Prussia, PA 19406-2922 - Phone
- (215) 590-1000
- NPI assigned
- Mar 25, 2014
- Last updated
- Nov 9, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | CT | ||
| Emergency Medicine Physician | 207P00000X | MD477669 | PA | Primary |
| Pediatrics Physician | 208000000X | 1171995 | MD | |
| Pediatric Emergency Medicine (Pediatrics) Physician | 2080P0204X | 64722 | CT |
Addresses
Primary practice location
550 S Goddard Blvd
King of Prussia, PA 19406-2922
Mailing address
3501 Civic Center Blvd
Colket Building 2ND Floor Emergency Medicine Suite 2110
Philadelphia, PA 19104
Phone (445) 236-2474
Other practice location 1
20 York St Dept Of
New Haven, CT 06510
Phone (203) 688-4242
Other practice location 2
3401 Civic Center Blvd
Philadelphia, PA 19104-4319
Phone (215) 590-1000
Other practice location 3
5755 Cedar Ln
Columbia, MD 21044-2912
Phone (410) 884-4888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Boston University School of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3401 Civic Ctr Blvd
Philadelphia, PA 19104-4319
Phone (215) 590-1000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD477669 | PA | MD | Emergency Medicine Physician |
| 1171995 | MD | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Childrens Health Care Associates, Inc | Current | Accepting new patients | |
| Childrens Health Care Associates, Inc | Pediatrics | Current | Accepting new patients |
| Childen's Health Care Associates Inc. | Current | Accepting new patients |
Locations
3401 Civic Center Blvd
Philadelphia, PA 19104
Phone (215) 590-4040
3401 Civic Center Blvd
#M975
Philadelphia, PA 19104
Organizations & group practices 3
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.
-
- Pediatrics Physician
- Philadelphia, PA
- NPI 1598869059
-
dba CHCA Nurse Practitioners
- Pediatric Registered Nurse
- Philadelphia, PA
- NPI 1699860643
-
dba CHCA Emergency Medicine
- Pediatric Emergency Medicine (Emergency Medicine) Physician
- Philadelphia, PA
- NPI 1457446403
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667952000000",
"number": "1417374745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3501 CIVIC CENTER BLVD",
"address_2": "COLKET BUILDING 2ND FLOOR EMERGENCY MEDICINE SUITE 2110",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19104",
"telephone_number": "445-236-2474",
"fax_number": "215-590-4454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 S GODDARD BLVD",
"city": "KING OF PRUSSIA",
"state": "PA",
"postal_code": "194062922",
"telephone_number": "215-590-1000"
}
],
"practiceLocations": [
{
"address_1": "20 York St Dept Of",
"address_purpose": "LOCATION",
"city": "New Haven",
"state": "CT",
"postal_code": "06510",
"country_code": "US",
"telephone_number": "203-688-4242",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3401 Civic Center Blvd",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191044319",
"country_code": "US",
"telephone_number": "215-590-1000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5755 Cedar Ln",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "MD",
"postal_code": "210442912",
"country_code": "US",
"telephone_number": "410-884-4888",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "IQBAL",
"first_name": "AMMARAH",
"credential": "MD MPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-03-25",
"last_updated": "2022-11-09",
"certification_date": "2022-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CT",
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "PA",
"license": "MD477669",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MD",
"license": "1171995",
"primary": false
},
{
"code": "2080P0204X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Emergency Medicine",
"state": "CT",
"license": "64722",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in King of Prussia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2022; 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.