Iqbal Karim Teli, M.D

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

119418 Issued in NY

Practice address

1600 Hazel St.
Elmhurst, NY 11375

Phone

(718) 546-6569

NPI assigned

Nov 11, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1226361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459641600000",
    "number": "1689828196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5726 164TH ST",
            "address_2": "APT 1",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113651450",
            "telephone_number": "347-806-0804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 HAZEL ST.",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "11375",
            "telephone_number": "718-546-6569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TELI",
        "first_name": "IQBAL",
        "middle_name": "KARIM",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-11",
        "last_updated": "2016-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "119418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00223905",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roland Guillermo Tayaba, M.D.
• Andre Taylor-Domville
• Elvira Taylor-Stefan, PTA
• Dan Basil Bibera Te Eng Fo, RN
• Shivkumar Tejwani, M.D.
• Temple Family Health NP PC
• Chieh Teng, DPT
• Bettina Gabrielle Villano Tenorio, M.D., M.B.A.
• Teodoro Y. Pang M.D., P.C.
• Rachel Tepper, PA-C

• Internal Medicine Physician in Elmhurst, NY
• Providers in Elmhurst, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.