NPIMap

Individual provider Active NPI

Ikram Ul Haq, MD

  • Infectious Disease Physician
  • Panama City, FL
National Provider Identifier
1861427288
Registry record updated Mar 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
ME0075189 Issued in FL
Practice address
750 Harrison Ave
Panama City, FL 32401-2524
Phone
(850) 913-9294
Fax
(850) 481-1820
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X ME0075189 FL Primary

Addresses

Primary practice location

750 Harrison Ave
Panama City, FL 32401-2524

Mailing address

PO Box 1442
Lynn Haven, FL 32444-6242
Phone (850) 913-9294

Other identifiers 3

IdentifierTypeStateIssuer
47246OtherFLBCBS OF FL
258243100MedicaidFL
110230818OtherFLMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20040504000523 FL Practitioner - Infectious DiseasePractitioner - Internal Medicine 5395733802 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay Infectious Disease LLCGroup PAC ID 7012236292, 3 clinicians

Practice addresses (Care Compare)

750 Harrison Ave
Panama City, FL 32401-2524
Phone 85091392942

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0075189FLMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Infectious Disease LLC Infectious Disease CurrentSince Apr 14, 2015 Accepting new patients
CMC Radiological Services PC Past Accepting new patients
Acsh Primary Care of Florida, LLC PastSince Sep 1, 2014 Accepting new patients
CMC Radiological Services PC Past Accepting new patients

Locations

449 W 23rd St
Panama City, FL 32405
Phone (850) 747-7900

750 Harrison Ave
Panama City, FL 32401
Phone (850) 913-8991

615 N Bonita Ave
Panama City, FL 32401
Phone (850) 747-2020

Organizations & group practices 4

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 8

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426636800000",
    "number": "1861427288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1442",
            "city": "LYNN HAVEN",
            "state": "FL",
            "postal_code": "324446242",
            "telephone_number": "850-913-9294",
            "fax_number": "850-481-1820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 HARRISON AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324012524",
            "telephone_number": "850-913-9294",
            "fax_number": "850-481-1820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAQ",
        "first_name": "IKRAM",
        "middle_name": "UL",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2015-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "ME0075189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FL",
            "identifier": "47246",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "258243100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "110230818",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

Verify at the official NPI Registry.