Individual provider Active NPI

Javaid Iqbal, M.D.

  • Neurology Physician
  • Beloit, WI
National Provider Identifier
1942304035
Registry record updated Feb 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
61682-20 Issued in WI
Practice address
1905 E. Huebbe Parkway
Beloit Health System (Beloit Clinic)
Beloit, WI 53511-1842
Phone
(608) 364-1460
Fax
(608) 364-1214
NPI assigned
Sep 11, 2006
Last updated
Feb 25, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 036-105607 IL
Neurology Physician 2084N0400X 61682-20 WI Primary

Addresses

Primary practice location

1905 E. Huebbe Parkway
Beloit Health System (Beloit Clinic)
Beloit, WI 53511-1842

Mailing address

1905 E. Huebbe Parkway
Beloit Health System Inc
Beloit, WI 53511-1842
Phone (608) 364-2200

Other identifiers 2

IdentifierTypeStateIssuer
1942304035MedicaidWI
036105607MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WI2 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
I20040318000464 IL Practitioner - NeurologyPractitioner - PsychiatryPractitioner - Neuropsychiatry 4688564172 Reassigns benefits to 1 organization
I20140102000489 WI Practitioner - Neurology 4688564172 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beloit Health System IncGroup PAC ID 8224947858, 138 clinicians

Practice addresses (Care Compare)

1735 Madison Rd
Beloit, WI 53511-3216
Phone (608) 363-7510

1905 E Huebbe Pkwy
Beloit, WI 53511-1842
Phone (608) 363-5000

1905 W Hart Rd
Beloit, WI 53511-2230
Phone (608) 364-2200

1969 W Hart Rd
Beloit, WI 53511-2230
Phone (608) 364-5756

5605 E Rockton Rd
Roscoe, IL 61073-7641
Phone (815) 525-4930

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-105607ILMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Presence Healthcare Services CurrentSince Jun 29, 2024 Accepting new patients
Presence Healthcare Services CurrentSince Jun 29, 2024 Accepting new patients
Teladoc Health Medical Group, P.a. Current Accepting new patients
Presence Healthcare Services CurrentSince Jul 7, 2024 Accepting new patients
Beloit Clinic, S.C. Neurology Current Accepting new patients
Beloit Health System Inc Current Accepting new patients
Beloit Health System, Inc CurrentSince Dec 15, 2013 Accepting new patients
Presence Healthcare Services Current Accepting new patients
Back in Action Holistic Health Center Past Accepting new patients
Javid Iqbal Neurology PastSince Jan 1, 1990 Accepting new patients
Beloit Health System, Inc Past Accepting new patients
LTC Medical Inc Past Accepting new patients
Directcare Physician Services, S.C. Past Accepting new patients
Northern Illinois Medical Group S. C. Past Accepting new patients

Locations

62311 Collection Ctr Dr
Chicago, IL 60693

62311 Collections Ctr D
Chicago, IL 60693
Phone (800) 273-2614

5605 E Rockton Rd
Roscoe, IL 61073
Phone (815) 525-4000

1400 W Park St
Urbana, IL 61801
Phone (217) 337-2000

1735 Madison Rd
Beloit, WI 53511
Phone (608) 363-7510

1905 E Huebbe Pkwy
Beloit, WI 53511
Phone (608) 364-2293

1969 W Hart Rd
Beloit, WI 53511
Phone (608) 364-5011

Interoperability endpoints

  • Direct secure messaging: javaidiqbal@tdh.allscriptsdirect.net

Organizations & group practices 15

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 15

Hospital & facility affiliations 1

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": "1157932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393286400000",
    "number": "1942304035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 E. HUEBBE PARKWAY",
            "address_2": "BELOIT HEALTH SYSTEM INC",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535111842",
            "telephone_number": "608-364-2200",
            "fax_number": "608-363-7395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 E. HUEBBE PARKWAY",
            "address_2": "BELOIT HEALTH SYSTEM (BELOIT CLINIC)",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535111842",
            "telephone_number": "608-364-1460",
            "fax_number": "608-364-1214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IQBAL",
        "first_name": "JAVAID",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-11",
        "last_updated": "2014-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IL",
            "license": "036-105607",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WI",
            "license": "61682-20",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1942304035",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036105607",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beloit, WI

Sources for this page

Verify at the official NPI Registry.