Active NPI
Shaheda Ahmed Iftikhar, MD
- Infectious Disease Physician
- Hauppauge, NY
National Provider Identifier
1508953779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 190090
- Practice address
- 225 Rabro Drive East
Hauppauge, NY 11788-4290 - Phone
- (631) 853-3012
- NPI assigned
- Oct 6, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 190090 | NY | |
| Infectious Disease Physician | 207RI0200X | 190090 | NY | Primary |
Addresses
Primary practice location
225 Rabro Drive East
Hauppauge, NY 11788-4290
Mailing address
18 Pheasant Run LN
Dix Hills, NY 11746-8142
Phone (631) 853-3012
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 190090 | NY | MD | Infectious Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Suffolk | Past | Accepting new patients | |
| County of Suffolk | Past | Accepting new patients | |
| County of Suffolk | Past | Accepting new patients | |
| County of Suffolk | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Home Health Agency
- Great River, NY
- NPI 1497859615
-
- Methadone Clinic
- Smithtown, NY
- NPI 1649374851
-
- Clinic/Center
- Brentwood, NY
- NPI 1851321152
-
- Home Health Agency
- Great River, NY
- NPI 1871506055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1508953779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 PHEASANT RUN LN",
"city": "DIX HILLS",
"state": "NY",
"postal_code": "117468142",
"telephone_number": "631-853-3012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 RABRO DRIVE EAST",
"city": "HAUPPAUGE",
"state": "NY",
"postal_code": "117884290",
"telephone_number": "631-853-3012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IFTIKHAR",
"first_name": "SHAHEDA",
"middle_name": "AHMED",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-06",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "190090",
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "NY",
"license": "190090",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hauppauge, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.