NPIMap

Individual provider Active NPI

Marc Ryan Iqbal, MD

  • Hospitalist Physician
  • Syracuse, NY
National Provider Identifier
1891932596
Registry record updated Sep 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
265041 Issued in NY
Practice address
5606 Bear Rd
Syracuse, NY 13212-1648
Phone
(315) 414-6332
Fax
(315) 314-6920
NPI assigned
Jan 16, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X MD29180 ME
Family Medicine Physician 207Q00000X 265041 NY
Hospitalist Physician 208M00000X 265041 NY Primary
Family Medicine Physician 207Q00000X MD29180 ME

Addresses

Primary practice location

5606 Bear Rd
Syracuse, NY 13212-1648

Mailing address

5606 Bear Rd
Syracuse, NY 13212-1648
Phone (315) 414-6332

Other practice location 1

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 662-4618

Other practice location 2

1 Medical Center Dr
Biddeford, ME 04005-9422
Phone (207) 283-7937

Other practice location 3

25 June St
Sanford, ME 04073-2621
Phone (207) 324-4310

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, ME2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120612000011 NY Practitioner - Internal Medicine 7618131202 Reassigns benefits to 6 organizations
I20250917003370 ME Practitioner - Internal MedicinePractitioner - Hospitalist 7618131202 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MainehealthGroup PAC ID 7517860588, 2,616 clinicians
Crouse Health Hospital IncGroup PAC ID 9739173774, 155 clinicians

Practice addresses (Care Compare)

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905

736 Irving Ave
Syracuse, NY 13210-1602
Phone (315) 470-7111

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
265041NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Jul 11, 2025 Accepting new patients
The Unity Hospital of Rochester CurrentSince Jan 10, 2023 Accepting new patients
Rochester General Hospital CurrentSince May 1, 2016 Accepting new patients
Mainehealth CurrentSince Jul 11, 2025 Accepting new patients
Mainehealth Current Accepting new patients
Rochester General Hospital Family Medicine Current Accepting new patients
The Unity Hospital of Rochester Current Accepting new patients
Rochester General Hospital Family Medicine CurrentSince May 1, 2016 Accepting new patients
Mary Imogene Bassett Hospital CurrentSince May 23, 2018 Accepting new patients
Mary Imogene Bassett Hospital CurrentSince May 23, 2018 Accepting new patients
Clifton Springs Sanitarium Co CurrentSince May 1, 2016 Accepting new patients
Upstate Community Medical, PC Hospitalist CurrentSince Dec 17, 2017 Accepting new patients
The Unity Hospital of Rochester CurrentSince Jan 10, 2023 Accepting new patients
Mainehealth Family Medicine Past Accepting new patients
Mainehealth Past Accepting new patients

Locations

1 Medical Dr
Biddeford, ME 04005
Phone (207) 283-7000

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

25 June St
Sanford, ME 04073
Phone (207) 324-4310

2 Coulter Rd
Clifton Springs, NY 14432
Phone (315) 462-1472

178 Grandview Dr
Cobleskill, NY 12043
Phone (518) 254-3456

1 Atwell Rd
Cooperstown, NY 13326
Phone (607) 547-3480

1555 Long Pond Rd
Rochester, NY 14626
Phone (585) 429-2289

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

4900 Broad Rd
Syracuse, NY 13215
Phone (315) 492-5011

1001 W Fayette St
Ste 400
Syracuse, NY 13204
Phone (315) 472-1488

4900 Broad Rd
Ste 4H
Syracuse, NY 13215
Phone (315) 492-5678

Interoperability endpoints

  • Direct secure messaging: miqbal913304@direct.mmc.mainehealth.org
  • Direct secure messaging: miqbal188996@direct-guthrie.org

Organizations & group practices 16

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 16

Hospital & facility affiliations 37

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1232064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757116800000",
    "number": "1891932596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5606 BEAR RD",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132121648",
            "telephone_number": "315-414-6332",
            "fax_number": "315-314-6920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5606 BEAR RD",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132121648",
            "telephone_number": "315-414-6332",
            "fax_number": "315-314-6920"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22 Bramhall St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041023134",
            "country_code": "US",
            "telephone_number": "207-662-4618",
            "fax_number": "207-662-6254",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Biddeford",
            "state": "ME",
            "postal_code": "040059422",
            "country_code": "US",
            "telephone_number": "207-283-7937",
            "fax_number": "207-283-7018",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25 June St",
            "address_purpose": "LOCATION",
            "city": "Sanford",
            "state": "ME",
            "postal_code": "040732621",
            "country_code": "US",
            "telephone_number": "207-324-4310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IQBAL",
        "first_name": "MARC",
        "middle_name": "RYAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-16",
        "last_updated": "2025-09-06",
        "certification_date": "2025-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "ME",
            "license": "MD29180",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "265041",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NY",
            "license": "265041",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "MD29180",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.