Individual provider Active NPI

Mobeen Iqbal, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Royal Palm Beach, FL
National Provider Identifier
1740823533
Registry record updated Oct 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
54261 Issued in KY
Practice address
10299 Southern Blvd # 212773
Royal Palm Beach, FL 33411-4337
Phone
(305) 735-2452
NPI assigned
Oct 24, 2019
Last updated
Oct 18, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 2019-02578 NC
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 54261 KY Primary

Addresses

Primary practice location

10299 Southern Blvd # 212773
Royal Palm Beach, FL 33411-4337

Mailing address

10299 Southern Blvd # 212773
Royal Palm Beach, FL 33411-4337
Phone (305) 735-2452

Other practice location 1

800 Rose St
Lexington, KY 40536-4337
Phone (859) 257-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
54261KYMDCritical Care Medicine (Internal Medicine) Physician
2019-02578NCMDCritical Care Medicine (Internal Medicine) Physician

Interoperability endpoints

  • Direct secure messaging: miqbal512907@direct.froedtert.com

NPI Registry JSON

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

{
    "created_epoch": "1571875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1740823533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10299 SOUTHERN BLVD # 212773",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334114337",
            "telephone_number": "305-735-2452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10299 SOUTHERN BLVD # 212773",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334114337",
            "telephone_number": "305-735-2452"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Rose St",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405364337",
            "country_code": "US",
            "telephone_number": "859-257-1000",
            "fax_number": "859-257-3347",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IQBAL",
        "first_name": "MOBEEN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-24",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NC",
            "license": "2019-02578",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "KY",
            "license": "54261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.