Active NPI
Mohamed Iqbal, MD
- Anesthesiology Physician
- Belleville, IL
National Provider Identifier
1659401396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 36082644
- Practice address
- 28 N 64TH St
Belleville, IL 62223-3808 - Phone
- (908) 653-9399
- Fax
- (908) 653-9305
- NPI assigned
- Mar 6, 2007
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 36082644 | IL | Primary |
Addresses
Primary practice location
28 N 64TH St
Belleville, IL 62223-3808
Mailing address
PO Box 822344
Philadelphia, PA 19182-2344
Phone (314) 991-0985
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 36082644 | Other | IL | MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- 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
- Anesthesiology
- Education
- Other, 1970
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3550 McKelvey Rd
Bridgeton, MO 63044-2527
Phone (314) 741-0911
Hospital & facility affiliations
- St Lukes Hospital
- Missouri Baptist Medical Center
- Barnes-Jewish West County Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36082644 | IL | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SW Anesthesia LLC | Anesthesiology | Current | Accepting new patients |
| Midwest Anesthesia | Anesthesiology | Past | Accepting new patients |
| Gateway Anesthesia Group LLC | Anesthesiology | Past | Accepting new patients |
| Midwest Anesthesia LLC | Anesthesiology | Past | Accepting new patients |
Locations
12345 W Bend Dr
Ste 201
Saint Louis, MO 63128
Phone (314) 722-2530
Organizations & group practices 5
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.
-
- Anesthesiology Physician
- Bridgetown, MO
- NPI 1245685601
-
- Anesthesiology Physician
- Saint Louis, MO
- NPI 1306319769
-
- Anesthesiology Physician
- Saint Louis, MO
- NPI 1457040479
-
- Anesthesiology Physician
- Saint Louis, MO
- NPI 1578649216
-
- Anesthesiology Physician
- Saint Louis, MO
- NPI 1730147448
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1831107895
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1487663506
-
- General Acute Care Hospital
- Chesterfield, MO
- NPI 1346251543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219708800000",
"number": "1659401396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 822344",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191822344",
"telephone_number": "314-991-0985",
"fax_number": "908-653-9305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28 N 64TH ST",
"city": "BELLEVILLE",
"state": "IL",
"postal_code": "622233808",
"telephone_number": "908-653-9399",
"fax_number": "908-653-9305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IQBAL",
"first_name": "MOHAMED",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-06",
"last_updated": "2008-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IL",
"license": "36082644",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "36082644",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Belleville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2008; 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.