Individual provider Active NPI

Amjad Iqbal, M.D.

  • Internal Medicine Physician
  • Poughkeepsie, NY
National Provider Identifier
1629296223
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
212062 Issued in NY
Practice address
354 Main St
Poughkeepsie, NY 12601-3317
Phone
(845) 486-0420
NPI assigned
Apr 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 212062 NY Primary

Addresses

Primary practice location

354 Main St
Poughkeepsie, NY 12601-3317

Mailing address

PO Box 663
Fishkill, NY 12524-0663
Phone (917) 653-7428

Other identifiers 1

IdentifierTypeStateIssuer
02221025MedicaidNY

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
I20040322001386 NY Practitioner - Internal Medicine 5193616985 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

354 Main St
Poughkeepsie, NY 12601-3317
Phone (845) 486-0420

Hospital & facility affiliations

  • Hudson Valley Hospice Hospice, Poughkeepsie, NY, CCN 331521
  • Montefiore St Luke'S Cornwall Hospital, Newburgh, NY, CCN 330264
  • The Pines at Poughkeepsie Ctr for Nursing & Rehab Nursing home, Poughkeepsie, NY, CCN 335440
  • Lutheran Center At Poughkeepsie Inc Nursing home, Poughkeepsie, NY, CCN 335810

Merit-based Incentive Payment System (MIPS)

Final score
26.99 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
89.96

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sara Medical Care PLLC Internal Medicine CurrentSince Jan 29, 2008 Accepting new patients
Poughkeepsie Crossings LLC Past Accepting new patients
Lutheran Center at Poughkeepsie, Inc Past Accepting new patients

Locations

354 Main St
Poughkeepsie, NY 12601
Phone (845) 486-0420

Organizations & group practices 3

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.

Hospital & facility affiliations 4

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": "1177200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1629296223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 663",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "125240663",
            "telephone_number": "917-653-7428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 MAIN ST",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126013317",
            "telephone_number": "845-486-0420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IQBAL",
        "first_name": "AMJAD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-22",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "212062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02221025",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

Verify at the official NPI Registry.