Individual provider Active NPI

Azhar Iqbal, MD, FAAP

  • Pediatrics Physician
  • Hummelstown, PA
National Provider Identifier
1962590919
Registry record updated Jan 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD462934 Issued in PA
Practice address
8105 Adams Dr Ste a
Hummelstown, PA 17036-8625
Phone
(717) 652-1211
Fax
(717) 652-4948
NPI assigned
Oct 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 212006 NY
Pediatrics Physician 208000000X MD462934 PA Primary

Addresses

Primary practice location

8105 Adams Dr Ste a
Hummelstown, PA 17036-8625

Mailing address

409 S 2ND St Ste 2F
Harrisburg, PA 17104-1612

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20180220000098 PA Practitioner - Pediatric Medicine 2769660067 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
212006NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Medical Services CurrentSince Feb 1, 2018 Accepting new patients
Pinnacle Health Medical Services CurrentSince Feb 1, 2018 Accepting new patients
Pinnacle Health Medical Services Pediatrics Current Accepting new patients
The Medical Group Department of Goodall Hospital Past Accepting new patients
Mousam Valley Orthopaedics PA Past Accepting new patients

Locations

409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

8105 Adams Dr
#A
Hummelstown, PA 17036
Phone (717) 652-1211

Organizations & group practices 5

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": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517356800000",
    "number": "1962590919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 S 2ND ST STE 2F",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171041612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8105 ADAMS DR STE A",
            "city": "HUMMELSTOWN",
            "state": "PA",
            "postal_code": "170368625",
            "telephone_number": "717-652-1211",
            "fax_number": "717-652-4948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IQBAL",
        "first_name": "AZHAR",
        "name_prefix": "Dr.",
        "credential": "MD, FAAP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2018-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "212006",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD462934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hummelstown, PA

Sources for this page

Verify at the official NPI Registry.