Individual provider Active NPI

Ijaz Mohammed Iqbal, M.D.

  • Internal Medicine Physician
  • Mobile, AL
National Provider Identifier
1962451971
Registry record updated Apr 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
22230 Issued in AL
Practice address
6801 Airport Blvd
Mobile, AL 36608-3709
Phone
(251) 639-5775
Fax
(251) 639-2664
NPI assigned
May 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 22230 AL Primary

Addresses

Primary practice location

6801 Airport Blvd
Mobile, AL 36608-3709

Mailing address

PO Box 18982
Belfast, ME 04915-4084
Phone (251) 342-3949

Other identifiers 1

IdentifierTypeStateIssuer
511-02362OtherALBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20060915000509 AL Practitioner - Internal Medicine 8224033766 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
USA Health Community Providers LLC Internal Medicine CurrentSince Sep 1, 2023 Accepting new patients
Alabama Providence Healthcare Services Internal Medicine CurrentSince Jan 1, 2017 Accepting new patients
Providence Hospital CurrentSince Jan 1, 2014 Accepting new patients
Providence Hospital CurrentSince Jan 1, 2014 Accepting new patients
Alabama Providence Healthcare Services Internal Medicine Current Accepting new patients
Alabama Providence Healthcare Services CurrentSince Jan 1, 2017 Accepting new patients
Providence Hospital Current Accepting new patients
Mobile Emergency Group PC Past Accepting new patients

Locations

610 Providence Park Dr E
Ste 102
Mobile, AL 36695
Phone (251) 378-3900

6801 Airport Blvd
Mobile, AL 36608
Phone (251) 266-3580

6701 Airport Blvd
Ste A101
Mobile, AL 36608
Phone (251) 633-8880

6701 Airport Blvd
Ste B329
Mobile, AL 36608
Phone (251) 633-4311

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554422400000",
    "number": "1962451971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18982",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154084",
            "telephone_number": "251-342-3949",
            "fax_number": "251-266-3361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 AIRPORT BLVD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366083709",
            "telephone_number": "251-639-5775",
            "fax_number": "251-639-2664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IQBAL",
        "first_name": "IJAZ",
        "middle_name": "MOHAMMED",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2019-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "22230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "511-02362",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.