Active NPI
Muhammad Fahair Iqbal, MD
- Hematology & Oncology Physician
- Palm Coast, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- ME154206
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OZ631 | Other | FL | MEDICARE |
| OZ632 | Other | FL | MEDICARE |
| 113456800 | Medicaid | FL | |
| B81YR | Other | FL | FL BLUE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 036.156403 | IL | MD | Internal Medicine Physician |
| ME154206 | FL | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Charlotte-Mecklenburg Hospital Authority | Current | Accepting new patients | |
| The Charlotte-Mecklenburg Hospital Authority | Internal Medicine | Current | Accepting new patients |
| The Charlotte-Mecklenburg Hospital Authority | Internal Medicine | Current | Accepting new patients |
| Cancer Specialists, LLC | Current | Accepting new patients | |
| Cancer Specialists, LLC | Hematology & Oncology | Current | 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
- 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.
-
- Hematology & Oncology Physician
- Jacksonville, FL
- NPI 1528323268
-
- Medical Oncology Physician
- Indian Land, SC
- NPI 1669738829
Internal Medicine, NC
-
- Pharmacy
- Jacksonville, FL
- NPI 1851656607
-
- Surgical Oncology Physician
- Charlotte, NC
- NPI 1508135799
Internal Medicine
-
- Rehabilitation Hospital Unit
- Charlotte, NC
- NPI 1962987131
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Palm Coast, FL
- NPI 1861102345
-
- General Acute Care Hospital
- St Augustine, FL
- NPI 1144211020
-
- General Acute Care Hospital
- Daytona Beach, FL
- NPI 1063426823
-
- General Acute Care Hospital
- Palm Coast, FL
- NPI 1679678486
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; 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.