Active NPI
Azher Iqbal
- Vascular & Interventional Radiology Physician
- Buffalo, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- 1967541
- Practice address
- 100 High St
Buffalo, NY 14203-1126 - Phone
- (716) 852-1977
- NPI assigned
- Jul 26, 2006
- Last updated
- Apr 6, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00025407303 | Other | UNIVERA | |
| 00025407301 | Other | UNIVERA | |
| 5609610 | Other | INDEPENDENT HEALTH | |
| CRDRA1967546B | Other | NY | WORKERS COMPENSATION |
| 01729473 | Medicaid | NY | |
| 000525535003 | Other | BLUE 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
Enrollment records 1
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
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
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 82 |
| Leg revascularization (restoring blood flow) | 63 |
| Removal of tissue | 543 |
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1967541 | NY | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| General Physician, PC | Current | Accepting new patients | |
| Great Lakes Medical Imaging LLC | Current | Accepting new patients | |
| Vascular-Interventional Associates, P.C. | Vascular & Interventional Radiology | Current | 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.
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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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2017; 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.