NPIMap

Individual provider Active NPI

Muhammad Irfan Iqbal

  • Neurology Physician
  • Kokomo, IN
National Provider Identifier
1710572755
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
01094745A Issued in IN
Practice address
2354 W Boulevard
Kokomo, IN 46902-6069
Phone
(765) 457-4800
NPI assigned
Mar 2, 2021
Last updated
Oct 1, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Neurology Physician 2084N0400X 01094745A IN Primary

Addresses

Primary practice location

2354 W Boulevard
Kokomo, IN 46902-6069

Mailing address

1 Brookdale PLZ
Brooklyn, NY 11212-3139
Phone (718) 240-6205

Other practice location 1

1 Brookdale Plz
Brooklyn, NY 11212-3139
Phone (718) 240-6205

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address muhammad.iqbal.1@7598.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250711003289 IN Practitioner - Neurology 6103331897 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Vincent Medical Group IncGroup PAC ID 7012047640, 728 clinicians

Practice addresses (Care Compare)

2354 W Boulevard
Kokomo, IN 46902-6069
Phone (765) 457-4800

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St. Vincent Medical Group, Inc. CurrentSince Aug 31, 2025 Accepting new patients
St. Vincent Medical Group, Inc. CurrentSince Aug 31, 2025 Accepting new patients
St Vincent Medical Group Inc Past Accepting new patients

Locations

250 W 96th St
Ste 520
Indianapolis, IN 46260
Phone (317) 583-3211

8433 Harcourt Rd
Ste 100
Indianapolis, IN 46260
Phone (317) 583-7702

2354 W Boulevard
Kokomo, IN 46902
Phone (765) 457-4800

Interoperability endpoints

  • Direct secure messaging: muhammad.iqbal.1@7598.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1614643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1710572755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BROOKDALE PLZ",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112123139",
            "telephone_number": "718-240-6205",
            "fax_number": "718-240-6516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2354 W BOULEVARD",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469026069",
            "telephone_number": "765-457-4800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Brookdale Plz",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112123139",
            "country_code": "US",
            "telephone_number": "718-240-6205",
            "fax_number": "718-240-6516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IQBAL",
        "first_name": "MUHAMMAD",
        "middle_name": "IRFAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-02",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IN",
            "license": "01094745A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "muhammad.iqbal.1@7598.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "2354 W Boulevard",
            "city": "Kokomo",
            "state": "IN",
            "country_code": "US",
            "postal_code": "469026069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kokomo, IN

Sources for this page

Verify at the official NPI Registry.