Active NPI
Kashif Z Iqbal, MD
- Internal Medicine Physician
- Evansville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 01044222A
- Practice address
- 421 Chestnut St
Evansville, IN 47713-1227 - Phone
- (812) 474-7123
- Fax
- (812) 858-4545
- NPI assigned
- Nov 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 01044222A | IN | Primary |
Addresses
Primary practice location
421 Chestnut St
Evansville, IN 47713-1227
Mailing address
PO Box 3868
Evansville, IN 47737-3868
Phone (812) 474-7123
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200125830 | Medicaid | IN | |
| 000000223541 | Other | IN | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- 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, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
120 SE 4TH St
Evansville, IN 47708-1607
Phone (812) 426-6645
1204 Williams St
Oakland City, IN 47660-1001
Phone (812) 749-6187
4011 Gateway Blvd
Newburgh, IN 47630-8947
Phone (812) 490-4570
421 Chestnut St
Evansville, IN 47713-1227
Phone (812) 426-6645
Hospital & facility affiliations
- Deaconess Home Health, LLC
- Enhabit Home Health
- Deaconess Hospital Inc
- Deaconess Henderson Hospital
- The Women'S Hospital
- Gibson General Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01044222A | IN | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deaconess Clinic Inc | Current | Accepting new patients | |
| Deaconess Clinic, Inc | Current | Accepting new patients | |
| Deaconess Clinic Inc. | Internal Medicine | Current | Accepting new patients |
Locations
4506 N 1st Ave
Evansville, IN 47710
Phone (812) 428-6161
421 Chestnut St
Evansville, IN 47713
Phone (812) 426-6645
4133 Gateway Blvd
Ste 290
Newburgh, IN 47630
Phone (812) 842-2701
4233 Gateway Blvd
Newburgh, IN 47630
Phone (812) 474-7116
1204 Williams St
Oakland City, IN 47660
Phone (812) 749-6187
1808 Sherman Dr
Princeton, IN 47670
Phone (812) 385-3401
Interoperability endpoints
- kiqbal2279@direct.deaconess.com
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Evansville, IN
- NPI 1619123585
-
- Pediatrics Physician
- Washington, IN
- NPI 1356132310
-
- Pediatrics Physician
- Newburgh, IN
- NPI 1376799213
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Evansville, IN
- NPI 1285285676
-
- General Acute Care Hospital
- Newburgh, IN
- NPI 1780535427
-
- General Acute Care Hospital
- Evansville, IN
- NPI 1053361642
-
- General Acute Care Hospital
- Newburgh, IN
- NPI 1114023512
-
- Home Health Agency
- Evansville, IN
- NPI 1629787320
-
- Critical Access Hospital
- Princeton, IN
- NPI 1558346007
-
- General Acute Care Hospital
- Henderson, KY
- NPI 1083759633
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357171200000",
"number": "1942376074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3868",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477373868",
"telephone_number": "812-474-7123",
"fax_number": "812-858-4545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "421 CHESTNUT ST",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477131227",
"telephone_number": "812-474-7123",
"fax_number": "812-858-4545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IQBAL",
"first_name": "KASHIF",
"middle_name": "Z",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-28",
"last_updated": "2013-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "01044222A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200125830",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000223541",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2013; 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.