Individual provider Active NPI

Muhammad Raghib Iqbal, M.D.

  • Nephrology Physician
  • Pasadena, CA
National Provider Identifier
1578515896
Registry record updated Aug 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A94608 Issued in CA
Practice address
50 Alessandro PL
Suite 140
Pasadena, CA 91105-3149
Phone
(626) 657-0863
Fax
(626) 639-6075
NPI assigned
May 16, 2006
Last updated
Aug 11, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2015

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4444 AZ
Internal Medicine Physician 207R00000X A94608 CA
Nephrology Physician 207RN0300X RS2012-0789 NM
Nephrology Physician 207RN0300X A94608 CA Primary

Addresses

Primary practice location

50 Alessandro PL
Suite 140
Pasadena, CA 91105-3149

Mailing address

50 Alessandro PL
Suite 140
Pasadena, CA 91105-3149
Phone (626) 657-0863

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20071101000662 CA Practitioner - Internal MedicinePractitioner - Nephrology 5991892325 Reassigns benefits to 2 organizations
Practice locations: Pasadena, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Community Health Centers IncGroup PAC ID 9638082456, shared by 6 NPIs, 47 clinicians

Practice addresses (Care Compare)

1704 Colorado Blvd
Los Angeles, CA 90041-1338
Phone (323) 256-4116

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A94608CAMDNephrology Physician
RS2012-0789NMMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Community Health Centers Inc Family Medicine Current Accepting new patients
Healthcare Partners Affiliates Medical Group Family Medicine CurrentSince Aug 10, 2015 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Aug 10, 2015 Accepting new patients
Comprehensive Community Health Centers, Inc. CurrentSince Feb 18, 2017 Accepting new patients
Glendale Adventist Medical Center Past Accepting new patients
Comprehensive Community Health Centers Inc Family Medicine Past Accepting new patients
Catholic Healthcare West Past Accepting new patients
Pasadena Hospital Association, LTD. Past Accepting new patients
Flagstaff Medical Center Past Accepting new patients

Locations

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

801 S Chevy Chase Dr
Ste 250
Glendale, CA 91205
Phone (818) 265-2259

1704 Colorado Blvd
Los Angeles, CA 90041
Phone (323) 256-4116

525 N Garfield Ave
Monterey Park, CA 91754
Phone (626) 573-2222

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: muhammad.iqbal.p1@direct.lakeside.nextgenshare.com
  • Direct secure messaging: muhammadiqbal@cchc.trimed.direct-ci.com

Organizations & group practices 10

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439251200000",
    "number": "1578515896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 ALESSANDRO PL",
            "address_2": "SUITE 140",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053149",
            "telephone_number": "626-657-0863",
            "fax_number": "626-639-6075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 ALESSANDRO PL",
            "address_2": "SUITE 140",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053149",
            "telephone_number": "626-657-0863",
            "fax_number": "626-639-6075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IQBAL",
        "first_name": "MUHAMMAD",
        "middle_name": "RAGHIB",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2015-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "4444",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A94608",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NM",
            "license": "RS2012-0789",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A94608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.