Active NPI
Syeda A. Iftikhar, M.D.
- Internal Medicine Physician
- Libertyville, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036102332
- Practice address
- 1507 S Falcon Dr
Libertyville, IL 60048-4897 - Phone
- (224) 567-8713
- Fax
- (224) 444-4533
- NPI assigned
- Jul 31, 2006
- Last updated
- Nov 3, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 18039 | ND | |
| Internal Medicine Physician | 207R00000X | 21284 | NE | |
| Internal Medicine Physician | 207R00000X | 036102332 | IL | Primary |
Addresses
Primary practice location
1507 S Falcon Dr
Libertyville, IL 60048-4897
Mailing address
1507 S Falcon Dr
Libertyville, IL 60048-4897
Phone (224) 475-9496
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036102332 | Medicaid | IL | |
| 35503 | Other | NE | BLUE CROSS BLUE SHIELD |
| K51298 | Other | IL | MEDICARE PTAN |
| 110232141 | Other | NE | RAILROAD MEDICARE |
| DN4121 | Other | IL | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1507 S Falcon Dr
Libertyville, IL 60048-4897
Phone (847) 494-0265
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18039 | ND | MD | Internal Medicine Physician |
| 21284 | NE | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Medicine of Illinois SC | Internal Medicine | Current | Accepting new patients |
| Annie Jeffrey Memorial County Health Center | Internal Medicine | Past | Accepting new patients |
| Annie Jeffrey Memorial County Health Center | Past | Accepting new patients | |
| Annie Jeffrey Memorial County Health Center | Past | Accepting new patients | |
| Excellent Health Care Services, Inc. | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/anniej-86ce9832
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Libertyville, IL
- NPI 1447426879
-
- Cardiovascular Disease Physician
- Orland Park, IL
- NPI 1902957822
-
dba Annie Jeffrey Family Medicine
- Internal Medicine Physician
- Osceola, NE
- NPI 1275544017
-
- Critical Access Hospital
- Osceola, NE
- NPI 1336243559
-
- Medicare Defined Swing Bed Hospital Unit
- Osceola, NE
- NPI 1720188139
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Evanston, IL
- NPI 1982442398
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762128000000",
"number": "1770599938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1507 S FALCON DR",
"city": "LIBERTYVILLE",
"state": "IL",
"postal_code": "600484897",
"telephone_number": "224-475-9496",
"fax_number": "224-444-4533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1507 S FALCON DR",
"city": "LIBERTYVILLE",
"state": "IL",
"postal_code": "600484897",
"telephone_number": "224-567-8713",
"fax_number": "224-444-4533"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IFTIKHAR",
"first_name": "SYEDA",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-31",
"last_updated": "2025-11-03",
"certification_date": "2025-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "ND",
"license": "18039",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NE",
"license": "21284",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036102332",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036102332",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "35503",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "K51298",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "110232141",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DN4121",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Libertyville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; 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.