Individual provider Active NPI

Khalid Iqbal, MD

  • Nephrology Physician
  • Atlanta, GA
National Provider Identifier
1598755993
Registry record updated Oct 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
55785 Issued in GA
Practice address
2431 Circlewood Rd NE
Atlanta, GA 30345-1949
Phone
(404) 761-0819
Fax
(404) 768-2336
NPI assigned
Oct 26, 2005
Last updated
Oct 23, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 055785 GA
Nephrology Physician 207RN0300X 55785 GA Primary

Addresses

Primary practice location

2431 Circlewood Rd NE
Atlanta, GA 30345-1949

Mailing address

2149 E Warner Rd Ste 102
Tempe, AZ 85284-3495
Phone (480) 610-6136

Other identifiers 1

IdentifierTypeStateIssuer
577858670AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20050328000231 GA Practitioner - NephrologyPractitioner - Internal Medicine 2466408067 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Atlanta South Nephrology,PCGroup PAC ID 9739137795, 7 clinicians

Practice addresses (Care Compare)

1275 Cleveland Ave
East Point, GA 30344-3433
Phone (404) 761-0819

1350 Montreal Rd
Suite 200
Tucker, GA 30084-8144
Phone (678) 406-0825

285 Boulevard NE
Suite 145
Atlanta, GA 30312-4204
Phone (404) 222-2464

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.27 of 100Reported as group
Quality
80.98
Promoting interoperability
100
Improvement activities
40
Cost
85.65

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
55785GAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanta South Nephrology,PC CurrentSince Aug 27, 2013 Accepting new patients
Mountain Park Dialysis Center, LLC Past Accepting new patients
Dinesh K Bhatia MD PC Nephrology Past Accepting new patients
Dsi Kennesaw LLC Past Accepting new patients

Locations

240 Ponce de Leon Ave NE
Atlanta, GA 30308
Phone (404) 230-2959

285 Boulevard NE
Ste 145
Atlanta, GA 30312
Phone (404) 222-2464

315 Boulevard NE
Ste 400B
Atlanta, GA 30312

550 Peachtree St NE
Ste 1285
Atlanta, GA 30308
Phone (404) 815-7951

260B Hospital Rd
Canton, GA 30114
Phone (770) 720-0797

195 Parkwood Cir
Carrollton, GA 30117
Phone (404) 876-9636

4586 Timber Ridge Dr
Ste 120
Douglasville, GA 30135
Phone (678) 540-7882

1275 Cleveland Ave
East Point, GA 30344
Phone (404) 762-0201

700 N Main St
Jasper, GA 30143
Phone (678) 387-1274

1925 Vaughn Rd NW
Ste 150
Kennesaw, GA 30144
Phone (678) 354-7124

2550 Sandy Plains Rd
Ste 160
Marietta, GA 30066
Phone (770) 509-1065

483 Upper Riverdale Rd SW
Ste D
Riverdale, GA 30274

Interoperability endpoints

  • Direct secure messaging: khalid.iqbal.1@16594.direct.athenahealth.com

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571788800000",
    "number": "1598755993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2149 E WARNER RD STE 102",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852843495",
            "telephone_number": "480-610-6136",
            "fax_number": "480-610-6189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2431 CIRCLEWOOD RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303451949",
            "telephone_number": "404-761-0819",
            "fax_number": "404-768-2336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IQBAL",
        "first_name": "KHALID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2019-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "055785",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "GA",
            "license": "55785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "577858670A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.