Individual provider Active NPI

Azher Iqbal

  • Vascular & Interventional Radiology Physician
  • Buffalo, NY
National Provider Identifier
1467476291
Registry record updated Apr 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
1967541 Issued in NY
Practice address
100 High St
Buffalo, NY 14203-1126
Phone
(716) 852-1977
NPI assigned
Jul 26, 2006
Last updated
Apr 6, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X 1967541 NY Primary

Addresses

Primary practice location

100 High St
Buffalo, NY 14203-1126

Mailing address

6337 Transit Rd
Depew, NY 14043-1030
Phone (716) 852-1977

Other identifiers 6

IdentifierTypeStateIssuer
00025407303OtherUNIVERA
00025407301OtherUNIVERA
5609610OtherINDEPENDENT HEALTH
CRDRA1967546BOtherNYWORKERS COMPENSATION
01729473MedicaidNY
000525535003OtherBLUE SHIELD OF WESTERN NY

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
I20091207000179 NY Practitioner - Interventional Radiology 4688713563 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Radiology
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vascular-Interventional Associates, PCGroup PAC ID 2961557590, 6 clinicians

Practice addresses (Care Compare)

100 High St
Buffalo, NY 14203-1126
Phone (716) 852-1959

6337 Transit Rd
Depew, NY 14043-1030
Phone (716) 852-1977

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal82
Leg revascularization (restoring blood flow)63
Removal of tissue543
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1967541NYMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
General Physician, PC CurrentSince Sep 26, 2009 Accepting new patients
Great Lakes Medical Imaging LLC CurrentSince May 19, 2018 Accepting new patients
Vascular-Interventional Associates, P.C. Vascular & Interventional Radiology CurrentSince Mar 15, 2001 Accepting new patients
University Radiology at Buffalo, Inc. Past Accepting new patients

Locations

100 High St
Buffalo, NY 14203
Phone (716) 632-3700

3085 Harlem Rd
Ste 150
Cheektowaga, NY 14225
Phone (716) 844-5300

6301 Transit Rd
#B
Depew, NY 14043
Phone (716) 469-6863

6337 Transit Rd
Depew, NY 14043
Phone (716) 852-1977

3898 Vineyard Dr
Dunkirk, NY 14048
Phone (716) 363-1515

500 Sterling Dr
#2
Orchard Park, NY 14127

5959 Big Tree Rd
Ste 105
Orchard Park, NY 14127
Phone (716) 256-1114

3850 Saunders Settlement Rd
Ste 150
Sanborn, NY 14132

111 N Maplemere Rd
Ste 120
Williamsville, NY 14221
Phone (716) 836-4646

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491436800000",
    "number": "1467476291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6337 TRANSIT RD",
            "city": "DEPEW",
            "state": "NY",
            "postal_code": "140431030",
            "telephone_number": "716-852-1977",
            "fax_number": "716-852-1959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HIGH ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142031126",
            "telephone_number": "716-852-1977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IQBAL",
        "first_name": "AZHER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2017-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NY",
            "license": "1967541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00025407303",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00025407301",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "5609610",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMPENSATION",
            "identifier": "CRDRA1967546B",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01729473",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF WESTERN NY",
            "identifier": "000525535003",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.