Individual provider Active NPI

Muhammad Fahair Iqbal, MD

  • Hematology & Oncology Physician
  • Palm Coast, FL
National Provider Identifier
1659788941
Registry record updated Apr 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
ME154206 Issued in FL
Practice address
80 Pinnacles Dr Ste 700
Palm Coast, FL 32164-2915
Phone
(386) 387-8500
Fax
(386) 387-8511
NPI assigned
Jul 17, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2022

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 MD-48323 IA
Internal Medicine Physician 207R00000X 036.156403 IL
Internal Medicine Physician 207R00000X 2018-00483 NC
Hematology & Oncology Physician 207RH0003X ME154206 FL Primary

Addresses

Primary practice location

80 Pinnacles Dr Ste 700
Palm Coast, FL 32164-2915

Mailing address

7015 A C Skinner Pkwy Ste 1
Jacksonville, FL 32256-6932
Phone (904) 363-2113

Other practice location 1

801 Illini Dr
Silvis, IL 61282-1804
Phone (309) 281-5180

Other practice location 2

1410 N 4th St
Clinton, IA 52732-2940
Phone (563) 244-5555

Other practice location 3

1401 W Central Park Ave
Davenport, IA 52804-1707
Phone (563) 421-1000

Other identifiers 4

IdentifierTypeStateIssuer
OZ631OtherFLMEDICARE
OZ632OtherFLMEDICARE
113456800MedicaidFL
B81YROtherFLFL BLUE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180726002620 NC Practitioner - Internal Medicine 5496974156 Reassigns benefits to 1 organization
I20220226000238 FL Practitioner - Hematology/Oncology 5496974156 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cancer Specialists LLCGroup PAC ID 9133377948, 46 clinicians

Practice addresses (Care Compare)

80 Pinnacles Dr
Suite 700
Palm Coast, FL 32164-2915
Phone (386) 387-8500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.156403ILMDInternal Medicine Physician
ME154206FLMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Charlotte-Mecklenburg Hospital Authority CurrentSince Jul 1, 2018 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority Internal Medicine CurrentSince Jul 1, 2018 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority Internal Medicine Current Accepting new patients
Cancer Specialists, LLC CurrentSince Apr 1, 2022 Accepting new patients
Cancer Specialists, LLC Hematology & Oncology CurrentSince Apr 1, 2022 Accepting new patients

Locations

5742 Booth Rd
Ste A
Jacksonville, FL 32207
Phone (904) 739-7779

7015 A C Skinner Pkwy
Ste 1
Jacksonville, FL 32256
Phone (904) 363-2113

159 N 3rd St
Ste E
Macclenny, FL 32063
Phone (904) 388-2619

80 Pinnacles Dr
Ste 700
Palm Coast, FL 32164
Phone (386) 387-8500

121 Whitehall Dr
St Augustine, FL 32086
Phone (904) 519-2738

1021 Morehead Medical Dr
Ste A
Charlotte, NC 28204
Phone (704) 355-2884

Interoperability endpoints

  • Direct secure messaging: miqbal744525@direct.shands.ufl.edu

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.

Hospital & facility affiliations 6

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": "1405555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649203200000",
    "number": "1659788941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7015 A C SKINNER PKWY STE 1",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322566932",
            "telephone_number": "904-363-2113",
            "fax_number": "904-363-2606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 PINNACLES DR STE 700",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321642915",
            "telephone_number": "386-387-8500",
            "fax_number": "386-387-8511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 Illini Dr",
            "address_purpose": "LOCATION",
            "city": "Silvis",
            "state": "IL",
            "postal_code": "612821804",
            "country_code": "US",
            "telephone_number": "309-281-5180",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1410 N 4th St",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "IA",
            "postal_code": "527322940",
            "country_code": "US",
            "telephone_number": "563-244-5555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1401 W Central Park Ave",
            "address_purpose": "LOCATION",
            "city": "Davenport",
            "state": "IA",
            "postal_code": "528041707",
            "country_code": "US",
            "telephone_number": "563-421-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IQBAL",
        "first_name": "MUHAMMAD",
        "middle_name": "FAHAIR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-17",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "MD-48323",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036.156403",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2018-00483",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "FL",
            "license": "ME154206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "OZ631",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "OZ632",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113456800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL BLUE",
            "identifier": "B81YR",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Coast, FL

Sources for this page

Verify at the official NPI Registry.