Individual provider Active NPI

Tanvir Iqbal, MD

  • Psychiatry Physician
  • Greensboro, NC
National Provider Identifier
1902248073
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2018-00225 Issued in NC
Practice address
603 Dolley Madison Rd Ste 100
Greensboro, NC 27410-4282
Phone
(302) 255-2707
NPI assigned
Jul 18, 2013
Last updated
Jun 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0804X 0101265979 VA
Psychiatry Physician 2084P0800X 2018-00225 NC Primary
Child & Adolescent Psychiatry Physician 2084P0804X 2018-00225 NC

Addresses

Primary practice location

603 Dolley Madison Rd Ste 100
Greensboro, NC 27410-4282

Mailing address

603 Dolley Madison Rd Ste 100
Greensboro, NC 27410-4282
Phone (302) 255-2707

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190327003101 VA Practitioner - Psychiatry 1355681420 Reassigns benefits to 2 organizations
I20200306000428 NC Practitioner - Psychiatry 1355681420 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Triad Psychiatric and Counseling Center PAGroup PAC ID 3173590882, 23 clinicians
Arman C Moshyedi MD PLLCGroup PAC ID 9931435070, 21 clinicians

Practice addresses (Care Compare)

1119 Spruce St
Martinsville, VA 24112-4508
Phone (276) 638-3505

125 Ashleybrook SQ
Winston Salem, NC 27103-3111
Phone (855) 940-4867

1500 Sunday Dr
Raleigh, NC 27607-5151

603 Dolley Madison Rd
Suite 100
Greensboro, NC 27410-4282
Phone (336) 632-3505

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101265979VAMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Danville Physician Practices LLC Single Specialty CurrentSince Apr 1, 2019 Accepting new patients
Greensboro Pathology, LLC Current Accepting new patients
Arman C. Moshyedi, MD, PLLC Single Specialty CurrentSince Nov 19, 2020 Accepting new patients
Novant Health Medical Group, LLC Single Specialty Current Accepting new patients
Novant Health Medical Group, LLC Psychiatry CurrentSince Jul 1, 2023 Accepting new patients
Forsyth Memorial Hospital, Inc. CurrentSince Jul 1, 2023 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Jul 1, 2023 Accepting new patients
Forsyth Memorial Hospital, Inc. Single Specialty Current Accepting new patients
Danville Physician Practices LLC Single Specialty CurrentSince Apr 1, 2019 Accepting new patients
Forsyth Memorial Hospital Inc Psychiatry CurrentSince Jul 1, 2023 Accepting new patients
Cornerstone Medical Center, PA Single Specialty Current Accepting new patients
Triad Psychiatric and Counseling Center PA Single Specialty CurrentSince Jan 29, 2020 Accepting new patients
Greenbrook TMS Winston-Salem LLC Single Specialty PastSince Feb 7, 2018 Accepting new patients
Keystone WSNC, LLC Past Accepting new patients

Locations

1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000

1041 Kirkpatrick Rd
Ste 100
Burlington, NC 27215
Phone (336) 538-0089

55 Vilcom Center Dr
Ste 230
Chapel Hill, NC 27514
Phone (919) 590-3530

6301 Stadium Dr
Clemmons, NC 27012
Phone (336) 766-6473

603 Dolley Madison Rd
Ste 100
Greensboro, NC 27410
Phone (336) 632-3505

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

603 Dolley Madison Rd
Ste 204
Greensboro, NC 27410

618 S Main St
Reidsville, NC 27320
Phone (336) 832-7965

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

207 Old Lexington Rd
Thomasville, NC 27360
Phone (336) 472-2000

380 Knollwood St
Ste 330
Winston Salem, NC 27103
Phone (336) 778-3989

175 Kimel Park Dr
Ste 100
Winston Salem, NC 27103
Phone (336) 277-1811

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

125 Ashleybrook Sq
Winston Salem, NC 27103
Phone (336) 632-3505

175 Kimel Park Dr
Winston Salem, NC 27103
Phone (336) 718-1006

142 S Main St
Danville, VA 24541
Phone (434) 799-2100

201 S Main St
Ste 3400
Danville, VA 24541
Phone (434) 791-4070

1119 Spruce St
Martinsville, VA 24112
Phone (276) 638-3505

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19847/brand/3/csg/21/fhir/r4
  • Direct secure messaging: tiqbal1143984@direct.novanthealth.org
  • Direct secure messaging: tanvir.iqbal.1@18773.direct.athenahealth.com
  • Direct secure messaging: greenbrooktmsnc.tanviriqbal@158836.advancedmd-direct.com

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 2

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": "1374105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1902248073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 DOLLEY MADISON RD STE 100",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274104282",
            "telephone_number": "302-255-2707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 DOLLEY MADISON RD STE 100",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274104282",
            "telephone_number": "302-255-2707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IQBAL",
        "first_name": "TANVIR",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-18",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "VA",
            "license": "0101265979",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "2018-00225",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NC",
            "license": "2018-00225",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.